Hi Dr. Sclafani,
What options are there in treating a jugular vein the has stenosed directly below a stent placed high up? Have you seen this yet?
can you post an image? It sounds like intimal hyperplasia. how long after stent placement was it ? Stent extension? covered stent? repeat angioplasty/
i hate stents
Repeat angioplasty, covered stent, not an extension
My follow-up was 3 weeks after stent placement but I really think restenosis occurred 3 days after (I had a momentary tweaking pain in my neck and none thereafter. I was walking much better the day before!)
could it be spasm or pressure on the stent? could the stent have bent by the forces of the neck? could thrombus have formed at the edge of the stent.
I did not get an image copy. When I asked the doctor about the narrowing, he dismissed the image as possibly being taken during breath expiration and that's why it showed narrowing. (which is a possibility) I think he had reached the edge of his comfort zone with this and was trying to pass me on to someone else.
actually the vein distends during expiration
I had seen temporary improvements after each of my prior 2 procedures and was desparate to get this vein back open, and this doctor could do the procedure within a week so I did it - wish I didn't!
He also told me that he could not get into my azygos or up my right jug. I think lack of persistance might have been an issue.
might these be occluded or restenoses?
I believe he was scheduled for something else right after my procedure and since the prep nurse had a flat tire, we started late!
there is always stress when doing procedures. its too bad there are patients on the other side of that stress. We are, afterall, all human
I am working on getting a procedure date with you and wanted to run this all by you beforehand
Unfortunately now, I realize convenience is no substitute for CCSVI expertise and experience! I feel like an idiota!
around ccsvi, we all feel like idiota sometimes. whenever you think you have finally figured it out, something new pops up.