Hubbard study released? - Clinical Improvement after ...

[daniel]

Clinical Improvement after Extracranial Venoplasty in Multiple Sclerosis - http://www.jvir.org/article/S1051-0443( ... 7/abstract

David Hubbard, MD
AFFILIATIONS

Applied fMRI Institute, Hubbard Foundation, San Diego, California
Address correspondence to D.H., Applied fMRI Institute, Hubbard Foundation, 14168 Donart Dr, Poway, CA 92064
, Donald Ponec, MD, Justin Gooding, MD, Richard Saxon, MD, Heidi Sauder, PhD, Mark Haacke, PhD
Received 4 October 2011; received in revised form 7 July 2012; accepted 10 July 2012. published online 28 August 2012

Purpose
This study proposed to prospectively evaluate safety and clinical changes in outpatient endovascular treatment in patients with multiple sclerosis (MS) and chronic cerebrospinal venous insufficiency (CCSVI).

Materials and Methods
Two hundred fifty-nine patients with MS were followed with the Multiple Sclerosis Impact Scale (MSIS-29) before and for 1and 6 months after treatment of extracranial internal jugular vein and azygos vein stenoses and occlusions using venous angioplasty, as well as stent placement in 2.5% of patients. Before treatment, the patients were tested with magnetic resonance (MR) venography and flow quantification.

Results
We found statistically significant improvements in the MSIS-29 scores (P < .01) at both 1 and 6 months. At 1 and 6 months, 67.9% and 53.6% were improved on the physical scale, respectively, and 53.0% and 44.4% were improved on the psychological scale, respectively. Women showed greater improvement than did men on the physical scale at 6 months (P = .01). Patients with primary progressive MS (PPMS) showed less improvement than did those with relapsing-remitting MS (RRMS) on the psychological scale at 1 month, and venoplasty treatment of more vein sites versus fewer vein sites showed greater improvement on the physical scale at both 1 and 6 months. Fifteen patients (6.3%) reported recurrent symptoms after clinical improvement and were treated again. There was one serious adverse event, a deep venous thrombosis at the catheter insertion site, which resolved with treatment.

Conclusions
Endovascular treatment of CCSVI in patients with MS appears to be a safe procedure resulting in significant clinical improvement.

[MrSuccess]

This is what is needed. A PUBLISHED clinical outcome , with favorable CCSVI > MS outcomes as a result of CCSVI treatment .

And best of all ...... a Neurologist .... in charge of the study .....

As with all other legitimate Clinical study's ..... they make no secret of their methods .... and entice other medical professionals to achieve and duplicate their results.

This is good science .

Just saying something will not work - WITHOUT - actually undertaking scientific steps ...

is beyond bad science.

Let us hope Dr.Hubbard & Dr.Ponec and TEAM ..... continue their CCSVI work .... and that another and another and another ..... group of pwMS get treated and tested.

.667 is an acceptable batting average on my team ....



MrSuccess

[MarkW]

This is what is needed. A PUBLISHED clinical outcome , with favorable CCSVI > MS outcomes as a result of CCSVI treatment. And best of all ...... a Neurologist .... in charge of the study .....
MrSuccess

I suggest that everyone who has received a negative response from their Neurologist send this abstract to them. Better still take a copy to your next appointment and ask "why is treating CCSVI syndrome (if diagnosed) a bad idea, as I have MS.
MarkW

[muse]

Here is the full JVIR paper, enjoy. Best Arne
"Clinical improvement after Extracranial Venoplasty in Multiple Sclerosis" https://docs.google.com/file/d/0B_Ed_wx ... edit?pli=1

[MarkW]

Thanks for the whole paper Arne, you saved me a trip to the library. An essential paper to share with Neurologists !!!
MarkW