Venous stenting efficacy- new research

[cheerleader]

An eleven year study on venous stenting in CVI in lower limbs.

Stenting to treat obstructions in patients with chronic venous insufficiency (CVI) dramatically reduces the symptoms of deep reflux disease, even though the reflux itself remains untreated, according to research published December 14, 2009, ahead of print in the Journal of Vascular Surgery.

New Treatment Paradigm
“Our treatment paradigm has changed,” said Dr. Raju. "Putting in a stent is simpler and easier than open surgery. So, it’s what we do. Reflux open surgery has pretty much gone out as a treatment option in our center because the results of stenting are so good."
William A. Gray, MD, of Columbia University Medical Center (New York, NY) told TCTMD in an e-mail communication that this study is important because previously, "it was not clear that there was this degree of iliac vein disease contributing to deep venous reflux, and that it could be addressed so effectively with endovascular therapy." He agreed that stenting should become the primary treatment for deep reflux disease, "assuming that these results can be replicated in a broader experience (i.e., in multiple centers with multiple operators). For patients with deep venous reflux identified in the lower extremities, a determination of iliac venous issues should be undertaken, since there appears to be a probable effective treatment."

http://www.tctmd.com/show.aspx?id=88132

[dialed_in]

Interesting read. I searched the site for that doctor's name and found some articles posted in the original ccsvi thread. he also has a practise in Mississippi where they do a lot of endovascular procedures including stents:

http://www.rajumd.com/index.php?do=topi ... 32&tid=374

It looks like they only do lower limbs. But it could be a place for people in that area to target with ccsvi info.

I wonder also how far stent design has progressed in the last 11 years? That might be my googling/reading for this afternoon.