Ministry Reports

Caring For Patients With Multiple Sclerosis Who Have Undergone an Endoluminal Vein Dilation Procedure for the treatment of Multiple Sclerosis

August 2011

Some recent research has suggested a relationship between narrowed veins in the neck and chest and the development of multiple sclerosis (MS), although this relationship has not been proven.

It has also been suggested, but not proven, that endoluminal vein dilation procedures can improve the symptoms of MS. This procedure is frequently referred to as the Chronic Cerebro-Spinal Venous Insufficiency (CCVSI) procedure, Liberation therapy, and/or the Zamboni procedure, after the Italian doctor who first suggested it.

At the present time, this procedure for the treatment of MS is not an insured service in Ontario, as there is insufficient evidence that it is safe and effective.

Since 2009, a number of Ontarians have chosen to undergo this procedure outside of the country.

These guidelines are designed to educate people on the follow-up care that patients with MS who have undergone an endoluminal vein dilation procedure can expect from their health care practitioner in Ontario. These guidelines are based on the guidelines developed by The Ontario Multiple Sclerosis Expert Advisory Group[PDF] for health care practitioners in Ontario.

The full report may be downloaded from the link below.

Document Download

Caring For Patients With Multiple Sclerosis Who Have Undergone an Endoluminal Vein Dilation Procedure for the treatment of Multiple Sclerosis
9 pages | 143 kb | PDF format

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