Panel debating pros and cons of "it's all about the valves." Dr. Arslan: "Valves do not carry blood"
Dr. Sclafani: IVUS needed to dtect each valve. Dr. Arslan: Right equipment makes the difference; IVUS not needed
Dr. Arslan: if you think its just the valves and not the veins, you might as well be a neuro
There's that "you might as well be a neuro" talk that, while not equaling the flying saucers and cowboy rhetoric on the other side, is still probably not appropriate if the goal is to bring the two sides together to further research into CCSVI, which benefits neurologists and IRs and most especially patients.
Dr. Arslan has moved to Rush University in Chicago, after previously working in Tampa, FL, at the Moffitt Institute. Florida's loss and Chicago's gain....
here is his abstract from page 49 of the 2012 isnvd abstracts
Open procedures are now reserved for stent failures only Occlusion, recanalization and thrombolysis
(Bulent Arslan, USA)
Disorders of the venous circulation is a common medical problem, well know by all health personnel as
opposed to CCSVI which is not even known by many physicians. Venous disorders include thrombosis of the
deep veins, which may result in pulmonary emboli, a deadly condition. Etiologies of stenoses or occlusions of
veins can be congenital, external compression or mass lesions (tumors, lymph nodes, muscles, etc). If condition
is simple such as isolated thrombosis of femoro-popliteal veins then treatment is systemic anticoagulation.
However if the condition is more complex resulting in significant symptoms, pain, patient discomfort, ischemia
of the leg, ambulation problems then endovascular interventions usually provide relief, utilizing catheter
directed thrombolysis, thrombectomy, angioplasty and stenting. Venous problems most commonly involve the
lower extremities, but upper extremity involvement is not uncommon and management is similar except in
cases of anatomic compression of the subclavian veins (Thoracic Inlet Syndrome), which requires surgery as a
definitive treatment. A relatively less know condition,” Pelvic Congestion Syndrome” is also being recognized
more and more commonly. PCS is development of varicosities of the pelvic veins and sometimes associated
with outflow obstruction, namely compression of the left renal vein by superior mesenteric artery (Nutcracker
Syndrome). In addition to embolization of the pelvic veins, stenting of the renal vein by improving venous
outflow provides relief in these patients who present with chronic pelvic pain. Similarity of the anatomic
problems to CCSVI is interesting.