This Is MS Multiple Sclerosis Community: Knowledge & Support

Seshadri Raju
Lessons from endovascular management of lower extremity venous obstruction
CVD …iliac vein obstructioni present in ½ the general population .
CVI patients having severe symptoms are present in over 90% as seen with IVUS
Aspirin
Stent

I have been looking forward to hearing from Dr. Raju on CCSVI since early 2010. He is an expert on iliac vein disease (May thurner syndrome). Here is what Arlene Hubbard had to say about Dr. Raju's talk today:
https://www.facebook.com/pages/Hubbard- ... 9665829860
Iliac vein obstruction is present in half the general population! Is that true? What does that mean for treatment of iliac vein obstruction in CCSVI?

We will need some examples where treatment of mts AFTER treatment of unsuccssful treatmentof conventional ccsvi stenoses caused improvements. OR at least there has to be significant flow up into the ascending lumbar vein

Dr. Seshadri Raju discussed lessons from endovascular management of lower extremity venous obstruction.
Stents placed in the lower limbs show great patency over long periods of time. Symptom relief has shown to
be excellent, including ulcer healing. He mentioned that venography is not perfect in identifying venous
abnormalities and IVUS is much better. Specifically, he noted that vessel wall imaging using IVUS can
distinguish normal and abnormal vessel wall efficiently. This technique is essential in studying vascular
abnormalities, and can play an integral part in supporting the venographic MRI data, especially for the
azygous vein. Stenting in venous system is different than in arterial because of different pressures and flows.
Stents are better than balloons because balloons recoil of lesions. Iliac vein stenting is very good for treating
CVI. Collaterals will go away when larger pathway opens.