AlmostClever wrote:HIya Doc. S!
I was tossing this about in another thread but I am really left in the dark on this one!
This is a picture from my venogram showing the blood flow in my iliac veins/IVC (for those playing along at home!).
Can you give me your impression of what is going on here? I have argued that without a 3-d MRV or CT scan it would be difficult to interpret exactly. My doctor argues that without pain and swelling, he can't order the scan!
My symptoms are numbness in both legs and the right is much weaker than the left.
Have you ever seen and/or treated something like this?
What can be done? Do you think this might need to be treated?
Thanks in advance!
Since we are playing at home I will give you my assessment:
Your left iliac vein is dilated respect to the right. This is a classical sign of May-Thurner syndrome. Your body has compensated using the iliac-lumbar vein as a collateral bypass. This vein eventually drain into the Azygous vein causing overload and impairing its ability to drain blood from your spinal cord.
In addition it seems blood from the left Iliac vein is draining into the right Iliac vein. This would imply a blockage in the IVC, but I do not know where the tip of the catheter is.
I am including a link to Dr. Galeotti CCSVI procedure.
He is the only IR in the world with several years of experience on this procedure.
He checks the left iliac vein and he fixes any problem found on venography irrespective of patient leg conditions.
I would advice any IR doctor starting on this procedure to follow his protocol until they have enough experience.
The following link is in Italian but, at least, you can look at the pictures.