sbr487 wrote: EnjoyingTheRide wrote:
I have PPMS and was liberated on March 17 by Dr. Sclafani- angioplasty of both internal jugular veins and azygos vein. Zero changes noticed after surgery. Too bad, right? Not necessarily. If I can keep saying this month after month, I win.
You can read about my experience at: http://www.enjoyingtheride.com/search/l ... ment%20Log
etr, your post makes me think ...
- do we know if type of MS is linked to the level of stenosis or the location of stenosis
- do we know if more severe form of MS will not yield to angioplasty and need stenting
Well, we don't know a lot, but we do know a few things. Dr. Zamboni noticed a definite correlation between location of stenosis and MS type. In his paper found here:
http://www.ctv.ca/generic/WebSpecials/p ... _final.pdf
on page 1352 Dr. Zamboni notes this about PPMS patients in his study:
"Type D pattern (18%) is characterized by the multilevel
involvement of the AZY and lumbar systems. Association
with the IJVs was observed in approximately 50%
and caused an additional obstruction in these patients.
It was observed in two of 35 RR patients, in one of 20
SP patients, and in nine of 10 PP patients."
So there is a correlation between type of MS and location of stenosis.
As to your next question, there seems to be less re-stenosis in the azygos veins than in the IJVs. From page 1353:
"The risk of restenosis in the IJVs was 16-fold higher compared with the AZY after PTA in CCSVI cases."
So, following the logic, there would be less restenosis with PPMS patients than with other patients, but these are simply course trends in very early research.