MS vein treatment offers no benefit to patients: study

TORONTO A small clinical trial of the so-called liberation treatment for multiple sclerosis found that the intervention did not improve patients symptoms and in some cases even made their disease worse, researchers say.

The University of Buffalo study of 30 MS patients found that the treatment which involves unblocking neck veins to improve blood drainage from the brain is safe. But the procedure had no benefit for patients symptoms, disease progression or quality of life measures.

As well, MRI scans showed some patients had increased brain lesions, one of the hallmarks of the progressive neurological disease, after undergoing the vein-opening procedure, said neurosurgeon Dr. Adnan Siddiqui, co-principal investigator of the pilot study.

What we found was rather surprising and unexpected, said Siddiqui. It was quite the opposite of what we originally expected to find. The study showed that endovascular treatment of stenosed (blocked) veins had no effect in MS patients.

Italian vascular surgeon Paulo Zamboni proposed in 2009 that a condition he dubbed chronic cerebrospinal venous insufficiency might be a cause of MS.

Zamboni suggested that opening up neck and chest veins with balloon angioplasty, the same procedure used to unblock coronary arteries, could help relieve symptoms and might even stop progression of the disease.

Since then, an estimated 30,000 MS patients worldwide have sought the unproven treatment in clinics that have popped up in such countries as Poland, Bulgaria, India and Mexico, and to a lesser extent in the United States.

Included in those medical tourists are thousands of Canadians with MS. The experimental treatment is not offered in Canada, through a federally sponsored clinical trial is in the process of enrolling patients.

The Buffalo study set out to assess the safety of venous angioplasty for MS patients as well as its effectiveness by comparing subjects given the procedure and those who received a sham treatment.

The first 10 patients all got the procedure, then in a second phase of 20 more patients, half received venous angioplasty while the other 10 got the bogus therapy. None of the participants knew which treatment they were getting.

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MS vein treatment offers no benefit to patients: study