drsclafani wrote:personally, i would be more fulfilled if there were more questions, especially from newbies who are trying to work their way through the tall grass of ccsvi. Sometimes those who have benefited the most during the years, may be inhibiting those who have much to learn because their knowledge base, much to my satisfaction, is quite sophisticated
HappyPoet wrote:Hi Dr. Sclafani,
* What percentage of your patients have had the same, new, or no symptom improvement(s) after a second venoplasty?
* On average, do improvements from a second venoplasty last as long as from the first venoplasty?
* Which is the most common cause of restenosis two years post-venoplasty? Scar tissue? Or scar tissue and intimal hyperplasia? Or scar tissue, intimal hyperplasia, and blood clots?
* Are you more conservative during a second venoplasty than a first venoplasty, i.e., do you use less pressure, less time of dilation, and/or smaller balloons for the second venoplasty?
nzer1 wrote:Thanks for this HappyPoet,
*I would add why is the second treatment or multiple treatments less likely to improve symptoms compared with the first treatment?
*Could this issue with multiple treatments be causing inflammation that is based on the vein having an infection rather than the vein healing process?
*If a vein was dilated in an area that had 'healthy' valves several times is it going to make it become thrombotic and stenosis occur?
*If an Artery was PTA'ed several times is there the same risk issues as you are finding or hearing about with CCSVI Veins?
*Does using anti-coagulants/thinners alter the healing process?
Cece wrote:drsclafani wrote:personally, i would be more fulfilled if there were more questions, especially from newbies who are trying to work their way through the tall grass of ccsvi. Sometimes those who have benefited the most during the years, may be inhibiting those who have much to learn because their knowledge base, much to my satisfaction, is quite sophisticated
I'm willing to participate to whatever extent helps the thread.
Though I can't promise not to get excited when a case study is posted.
allynz wrote:My opinion is that this thread is fairly self managing in that when people veer into areas outside of your comfort zone you make that known and the conversation self-terminates. It is your thread and I think you should be able to govern the topics covered. I agree that some people are very well informed which can leave others of us a bit overwhelmed but I just skip over those comments - I don't need that much detail for myself but that is no reason why others shouldn't be able to enjoy that level of complex discussion. I do like the fact this thread is quite active and given how inter-related so many symptoms and treatments are and how varied this condition is a fairly broad discussion seems to be what is keeping things moving and introducing new lines of thinking and exploration and introduces new ideas and concepts to a broader audience without having to trawl the whole of TiMS for new lines of inquiry to pursue.
My question is what is PTA? - seen it mentioned lots and keep meaning to ask.
Per cutaneous = through the skindrsclafani wrote:
i just say angioplasty now. surgical angioplasty isnt very common
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