drsclafani wrote:This question seems to be coming up frequently.
what are the reasons to have a second procedure?
1. incomplete study
2. equivocal findings
3. missed diagnoses
4. fleeting improvements
5. recurrent symptoms
6. suspicion of thrombosis
7. recurrent CCSVI ultrasound findings?
8. a simple desire to have a second look
9. a mistrust of the first operator
10. feeling worse after the procedure.
if anyone has other ideas, please share them here so we can start to look at why second procedures are done.
I could not think of any, can anyone else?
Anyone have a second procedure for a reason not on this list?
I would think, (my conjecture) that reflux would be common after angioplasty because the valves are opened by angioplasty. Perhaps reflux can come from the heart toward the brain by an incompetent valve?
can valve thickening be caused by balloon angiopastly?
newlywed4ever posted that you found thickening of the valves in a jugular and of the leaflets in her azygous - there is no way to tell if that thickening was intimal hyperplasia or if it was how the valves were originally?
(newlywed4ever, so happy to hear of those improvements - I have always had a lower body temp too.)
The questions about the ultrasound screening are intriguing to me. I intend to ask quite a few questions during the consensus panel discussions on ultrasound at the ISNVD meeting on March 13-15 in Ferrara Italy. they will focus upon the value and interpretation of the postprocedural ultrasound.
I hope you will share the answers when you come back.... March will be a good month, many conferences!
A few days back, you said this to leetz:
drsclafani wrote:i think that it is likely that you were incompletely dilated or had a lot of elastic recoil. i think second or even third treatments m ay be beneifical.
i have started to consider whether second venograms and possible an;gioplasties should be done sooner than later as a routine
If this leads to more thorough and better care for us, I am all behind it.
newlywed, with that azygous, were those leaflets ballooned during your first procedure? Dr. Zamboni had found that the azygous tended not to restenose, but I don't understand any reason why this would be so, if it is a vein like other veins. Would the azygous be the main reason to do repeat routine venograms?