Dr. Arslan at ISNVD

A forum to discuss Chronic Cerebrospinal Venous Insufficiency and its relationship to Multiple Sclerosis.

Dr. Arslan at ISNVD

Postby Cece » Tue Feb 21, 2012 1:57 pm

Well, we know Dr. Arslan was the victor in the valve debate! He was opposing the idea that it was all about the valves.
from twitter
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.
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Re: Dr. Arslan at ISNVD

Postby Cece » Wed Feb 22, 2012 10:11 am

Dr. Arslan is up right now. It's good stuff. Anne Kingston tweets:
Bulent Arslan: "Anywhere you have a vein you have disease of that vein." Agrees venous disease underdiagnosed, more common in women
Anywhere you have a vein you have disease of that vein! I've been saying that too, that anything in the human body that can go wrong, will go wrong, some of the time or in some of the people. If there's a jugular valve in a human body, there is disease of the jugular valve, and in my case, it was thickening of the valve that blocked flow. Totally agree with Dr. Arslan. And that venous disease seems to have been under-recognised and can cause great harm to the organ it drains. Danielle Rheume tweets
Arslan on Pelvic congestion syndrome. Very interesting. Renal vein issues can contribute.
I am not sure if this is in reference to the presentation that Dr. Sclafani just made? Certainly it ties in.

from Arlene Hubbard's report of the last day of ISNVD:
https://www.facebook.com/pages/Hubbard- ... 9665829860
Bulent Arslan
Occlusion recanalization and thrombolysis
Acute DVT…high risk for developing post thrombotic syn. Due to incomplete resolution of clt and valvular damage
Most venous disease is in woman
Venous disease is underdiagnosed
Women with pelvic congestion is under diagnosed and women are told it’s psychological.
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