Surveillance and medical therapy following endovascular treatment of chronic cerebrospinal venous insufficiency

Vascular
Thomas L ForbesStewart W Kribs

Abstract

The debate regarding the possible link between chronic cerebrospinal venous insufficiency and multiple sclerosis (MS) is continuously becoming more and more contentious due to the current lack of level 1 evidence from randomized trials. Regardless of this continued uncertainty surrounding the safety and efficacy of this therapy, MS patients from Canada, and other jurisdictions, are traveling abroad to receive central venous angioplasty and, unfortunately, some also receive venous stents. They often return home with few instructions regarding follow-up or medical therapy. In response we propose some interim, practical recommendations for post-procedural surveillance and medical therapy, until further information is available.

References

Apr 20, 2005·Journal of Vascular Surgery·Anil HingoraniTheresa Jacob
Aug 5, 2005·Vascular and Endovascular Surgery·Enrico AscherAnil Hingorani
Jan 16, 2007·Journal of Vascular Surgery·L NorgrenUNKNOWN TASC II Working Group
Dec 5, 2009·Journal of Vascular Surgery·Paolo ZamboniFabrizio Salvi
Dec 17, 2009·Journal of Vascular Surgery·Seshadri RajuPeter Neglén
May 20, 2011·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Joseph A Caprini
Aug 16, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P ZamboniR Zivadinov
Aug 23, 2011·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Jodie M BurtonMichael D Hill

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