？Procedimientos endovasculares como tratamiento de la esclerosis múltiple?: La hipótesis de la insuficiencia venosa crónica cerebro medular

in this "point of view" or special article, it has been reviewed the main bibliographic antecedents related to the entity denominated as chronic cerebrospinal venous insufficiency (ccsvi), which formulation has been stated by zamboni et col, from the vascular diseases center of the university of ferrara-italy, who have assigned it a pathogenic role or of aggravation one in multiple sclerosis (ms), what has led them to propose and carry out endovascular balloon angioplasty or venous stent in ms patients as a treatment. the bibliographic review at this stage of the knowledge of ccsvi does not let us to conclude whether this hypothetical entity has any role in the development or aggravation of ms. on the other hand, we agree with most of the clinicians and neuroimaging ms researchers because of the absence of arguments to indicate, support or propose envovascular "therapeutic" procedures for ms. to advance in the knowledge of ccsvi and the eventual relation with ms it is required some multicentric controlled studies carefully led and clinical and methodological rigorous procedures approved by committee of ethic in very well informed patients invited to participate in protocols of formal investigation who should be protected by complementary pertinent insurances and responsibilities connected to the investigation expenses.