Objective Chronic cerebrospinal venous insufficiency (CCSVI) has been hypothesized to be a risk factor for multiple sclerosis (MS). Venoplasty has been proposed as a treatment for CCSVI. The aim of our study was to gain a better understanding of the "real-world" safety and longitudinal effectiveness of venoplasty Methods: British Columbia residents who self-reported having had venoplasty and consented to participate in the study were interviewed and followed for up to 24 months post-therapy using standardized structured questionnaires Results: Participants reported procedure-related complications (11.5%) and complications within the first month after the procedure (17.3%). Initially, more than 40% of participants perceived that the venoplasty had had positive effects on their health conditions, such as fatigue, numbness, balance, concentration/memory and mobility. However, this improvement was not maintained over time Conclusions: Follow-up patient-reported outcomes indicated that the initial perception of the positive impact of venoplasty on the health conditions of MS patients was not sustained over time. In addition, venoplasty was not without associated morbidity.

译文

:客观性慢性脑脊髓静脉功能不全(CCSVI)被认为是多发性硬化症(MS)的危险因素。静脉成形术已被提议作为CCSVI的治疗方法。我们的研究目的是为了更好地了解静脉成形术的“现实世界”安全性和纵向有效性。方法:对自我报告患有静脉成形术并同意参加该研究的不列颠哥伦比亚省居民进行了采访,并进行了随访。治疗后24个月,使用标准化结构化问卷调查结果:参与者报告了与手术相关的并发症(11.5%)和手术后第一个月内的并发症(17.3%)。最初,超过40%的参与者认为静脉成形术对他们的健康状况产生了积极的影响,例如疲劳,麻木,平衡,注意力/记忆力和活动能力。但是,随着时间的推移,这种改善并未保持。结论:随访患者报告的结果表明,随着时间的流逝,对静脉成形术对MS患者健康状况的积极影响的最初认识并没有持续。此外,静脉成形术并非没有相关的发病率。

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