MS vein-opening trial announced for B.C. and Quebec
Posted: Fri Sep 28, 2012 7:35 am
Read all about it: http://www.cbc.ca/news/canada/story/201 ... c-que.html
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If the trial has been approved, I would guess the protocol has been defined and approved.1eye wrote:... request use of IVUS, monitor anti-clotting regime, follow-up plans, etc.?...
Hopefully the CCSVI Coalition Scientific Advisory Board had effective input ( http://ccsvicoalition.org/board-of-experts ).1eye wrote:Will someone who is someone ask to liaison between the trial researchers and the stakeholders in Canada, examine blinding, read protocols in advance, request use of IVUS, monitor anti-clotting regime, follow-up plans, etc.?
I don't consider conversations about a procedure to be a substitute for experience performing the procedure.But he also raises a big concern: that doctors performing CCSVI treatment in the Canadian clinical trial won’t have prior hands-on experience. Interventional radiologists say it takes upwards of 60 procedures to achieve proficiency; Salvatore Scalfani, a veteran interventional radiologist in Brooklyn NY, has reported it took him 200 procedures to feel comfortable. Traloubsee told Maclean’s the technologist and radiologist involved in the trial spent a week with Zamboni and his team in Italy. The vascular team has had “extensive conversations with many international colleagues who’ve performed the procedure,” he says, including Dr. Gary Siskin who’s running the Albany trials.
Conflict of interest.At the helm is an CCSVI naysayer: neurologist Anthony Traboulsee, director of the UBC Hospital MS Clinic, who has voiced skepticism about CCSVI in the past. On the 2012 CBC’s MS Wars: Hope, Science and the Internet, Traboulsee expressed disappointment that CCSVI research has pushed funding for stem cell research, which he called “one of the greatest futures of treating all neurological diseases,” back by five years. Traboulsee was also a member of the CIHR’s Scientific Expert Working Group formed to oversee research into CCSVI clinical trials. CIHR spokesman Coloumbe says there’s no conflict of interest in Traboulsee now overseeing the shebang, and promised a full explanation as to why on Monday.
Hey if he had accepted tons of moolah from drug companies recently I might be worried. But aren't we in another thread looking right at stem cells combined with the CCSVI treatment? Wouldn't it be cool if he were able to crank up a comparison group that included autologous stem cells? If he were talking to the experts in that area about it, as well as the angioplasty experts?Conflict of interest.
He got that right.Code doesn't dispute that blocked or twisted veins are not the cause of MS. But he says liberation therapy can relieve the worst of its symptoms.
"We have the expertise among our vascular surgeons and interventional radiologists. We have some of the best in the world. But they're being hand-cuffed by a small number of people who aren't willing to look at the bigger picture," he said, speaking from Canmore, Alta., where he's slated to give a talk at the second annual Exploring Frontiers in Neurovascular Health conference Sunday, put on by the Canadian CCSVI Foundation, where he sits on the board.
I spent a week with Dr Zamboni too. I asked dr Galleati how many cases it took for him to be comfortable and he said fifty.Cece wrote:http://www2.macleans.ca/2012/09/30/fina ... issed-off/I don't consider conversations about a procedure to be a substitute for experience performing the procedure.But he also raises a big concern: that doctors performing CCSVI treatment in the Canadian clinical trial won’t have prior hands-on experience. Interventional radiologists say it takes upwards of 60 procedures to achieve proficiency; Salvatore Scalfani, a veteran interventional radiologist in Brooklyn NY, has reported it took him 200 procedures to feel comfortable. Traloubsee told Maclean’s the technologist and radiologist involved in the trial spent a week with Zamboni and his team in Italy. The vascular team has had “extensive conversations with many international colleagues who’ve performed the procedure,” he says, including Dr. Gary Siskin who’s running the Albany trials.
With the stakes as high as they are, I would want this to be research done by experienced providers.
Any chance you could let us know what their thoughts on IVUS are? I can not remember seeing them comment on this topic either way.drsclafani wrote:I spent a week with Dr Zamboni too. I asked dr Galleati how many cases it took for him to be comfortable and he said fifty.
I then showed galleoti and Zamboni a case study and they both got it wrong and missed the stenosis.
"Fantastic"CureOrBust wrote:Any chance you could let us know what their thoughts on IVUS are? I can not remember seeing them comment on this topic either way.drsclafani wrote:I spent a week with Dr Zamboni too. I asked dr Galleati how many cases it took for him to be comfortable and he said fifty.
I then showed galleoti and Zamboni a case study and they both got it wrong and missed the stenosis.