Moderator's Note: Thanks to
AlmostClever for putting together this index of Dr. Sclafani's thread, "
DrSclafani Answers Some Questions." I have created links to each of the pages and made it sticky. I hope that AlmostClever will continue to update the index. Additions to the index will be updated here as they are made available.
Page Question Topic Page 1 Neck
Colleague acceptance
Valve probs
New problem in jugular
Stenosis come and go
Page 2 Effects of low flow
Collateral veins
Contact info
Page 3 Blood flow
Venogram
Page 4 Jugular access
Low blood pressure/mean transit time
Venography
Venography
Angioplasty debris
Page 5 Angioplasty nerve damage
Venoplasty through heart
Stenosis location
Valve problems
Page 6 Intravascular ultrasound
Collapsing veins and treatment
Ballooning skeptics
Ballooning solve valve probs
Page 7 Dr. Love
Alternative solutions
Flow and reflux
Lumbar veins
Spinal cord drainage
Angio and stents
Page 8 New covered stent
New stent development
Page 9 Vein repair
Blood circulation problem
Angiogram CCSVI diagnosis
Pressure gradients
Stents
Page 10 Pocket in IJV
Procedure curiosity
Page 11 Blood flow vs lesion location
Veins in CCSVI
Page 12 Addressing stenosis prior to procedure
Restenosis cause/prevention
Page 13 Too much brain drain
Restenosis prevention / Vitamin K
Doppler question
IBT
Cutting balloon
Page 14 Page 15 Vein narrowing quantification
Vein wall weakening
Doctor experience
Vein scenario question
Venogram learning curve
Sleeping position
Sclafani peers
Page 16 Childhood CCSVI detection
Page 17 Childhood heart operation
Pressure gradients
Ballooning veins
Procedure follow-up
Treating early MS'ers / CCSVI
Problems found in all patients
Seizures and angio
Page 18 Angioplasty
Vertebrobasilar insufficiency
Collaterals and stenosis
Situation impression
Distending vein / collaterals
Page 19 mailto:ccsviliberation@gmail.com
Cold hands/feet
Low blood pressure
Surgical repair of stenosis
Page 20 Presence/absence of valves in jugulars
Radiation and CCSVI
Bad joke about Hillary Swank (diet)
Page 21 Upper narrowing significance
Sclefani's dad/childhood
Blood thinners
Vascular malformations
Ultrasound question
Testing
Post-procedure
Page 22 Flying and anticoagulation
CT-V Scan vs MRV
Page 23 Pre-departure advice
CT-V question
Vein elasticity
Flying and anticoagulation
Real stenosis
Vein scar tissue
Page 24 Causes of narrowing
Radiology 101
Page 25 MRV question
Femoral nerve damage during angio
High stenosis
Colleagues
Improvements?
Page 26 Sclefani procedural improvements
Page 27 Leiden Factor V and stents
Azygous
Sinuses
Inversion
Legal fear / procedure stalls
Page 28 Elastic recoil
Page 29 Page 30 MS treatment resistance
Research and procedure
Research and procedure
Research and procedure
Page 31 Elective procedure?
Iron theory
Page 32 Neuro participation w/ Sclefani
Treatment complication comparison
Page 33 Kuwait
Positional flow
Neuro recruitment
Page 34 Controls
Page 35 Page 36 Only 7 years of proof…
Insurance economics
Page 37 Procedure risk
Iron theory
Page 38 Page 39 Iron question
Iron deposition
Risk-benefit
Kuwait comments
Old dogs…
Sauna post-treatmenr
Umbilical cord question
BNAC
Diagnosis/procedure codes
Page 40 A new inspiration/gratification
Page 41 Dr. Sacks
Procedure stats
Congenital/non-congenital causes
Page 42 Only 1 jugular vein
Hippocrates Oath (modern)
Page 43 Fetal demise
Crappy vein syndrome and MS
Invisible "missing" jugulars
Vein dye
German peers
Red feet
Page 44 Vasodilation
IRB process
How to help Dr. S
Pregnancy stuff
Stents
Physical therapy
Page 45 Student interest?
Page 46 Thalamus
Vein treatment
Stent issue
Pregnancy and blood volume
Chiro neck manipulation
Page 47 High EDSS question
Azygous MRI imaging
Carotid artery rubbing, sleepiness
Legs after treatment
Contact info
Page 48 Fatigue vs Sleepiness
Zamboni pathological reflux definition/paper
"Confounding variables"
Multiple angio's
Duplicity and drainage of critical areas
MS and multiple diseases/conditions
Page 49 The power of suggestion…
Catheter Venography with IVUS
Page 50 Stents and Chiros
Dyes and Reactions
Page 51 Kuwait comments / Letter to Dr. Sinan
Response from Dr. Sinan
Upcoming trial description
Get on a list!
Page 52 Echo-Doppler discussion
Pressure and reflux
Normal, Anomaly, abnormality
Seek testing quality
Screening vs definitive testing
IJV, collagen, connective tissue
Throbbing neck veins
CCSVI and Tinnitus
Relax after stents
Page 53 Vertebral vein reflux/getting 2nd opinons
More Kuwait…
Relapse/Restenosis
Getting IRB approval
Transcranial magnetic stimulation
Rici
Page 54 Page 55 "Doctor-speak"/word play...
Local NYC IR interest
Nunzio showing off
Page 56 Zivadinov's Iron Deposition
Blood Thinners and Ballooning
Vasalva
Ballon Angioplasty Trial Obstacles
Non-MS'er testing
Aspirin and Venogram
Ultrasound and Intracranial Veins
Dr. S plans to treat!
Some veins too small to balloon, verts and collaterals...
Page 57 Page 58 Must test invasively
Stents more or less permanent
Can venous issues develop from trauma?
Positive/Negative Reflux
Hospital practices
Page 59 IRB approval = hospital go ahead
CCSVI is hospital issue, not US DHHS
Page 60 Restenosis as a control
Page 61 Robert cont'd
Trial details
Visible external malformations
Questions for your surgeon
Sleeping position question
CCSVI Patient Registry?
Page 62 Which docs have the best experience?
Page 63 QUIT CALLING IT SURGERY!!!
Neurovasomotor problems in extremeties
Continue immunosuppressing drugs just prior to procedure?
To stent or not to stent?
Page 64 Doesn't IRB know Liberation is safe?
Beyond azygous and jugular?
Why does CCSVI warrant treatment? Proving it…
Spinal cord MS
Restenosis? Go right back to venogram…
Page 65 Dramatic improvements?
Hotels near Dr. S
Page 66 Guessing/Waiting is the hardest part!
Nitro-Liberation Warning
Improvements by MS type
In-stent Restenosis
Artery vs Vein ballooning/stenting
Placebo doubts
Jugular stent design
Stenosis size/location treatment
Page 67 Azygous learning curve
CT Scans
Bifurcation narrowing
The Elusive Azygous
Page 68 Vein replacement
CCSVI criteria
Is lesion & stenosis location related?
CCSVI Tests and Descriptions
Venograms missing abnormalities
No Jugs required!?!?
Page 69 Page 70 Variation of CCSVI abnormalities
Scan entire body?
Page 71 Missing jug cases
Dr. S.'s IRB draft
Advice for Newbie IR's
Page 72 Teamwork planning
Vein grafting
Trials and Trickulations
Page 73 Longterm prognosis
Catherization thru inguinal (and heart) vs brachial vein
"Acute congestive plethora of the head"
Neuro's evaluations needed
Trial compromise
Page 74 CCSVI Literature for docs scarce
Stents removed?!?!?!
Neuro interviewing before & after Lib Pro
Ethical trial? How?
EDSS 8.5++
Page 75 It's more of a safety study…
Brain trauma and angio safe?
"No treatment" is the Control
Venography detection rates higher
more Trial talk…
Page 76 Pesky Placebo & Unquantifiables
A Rewarding Journey Has Begun
Page 77 Trials - Safety First!
Page 78 Page 79 Page 80 Doc S. - Back after these messages…
Page 81 Patient and Statistic Significance
"ndwannabe" case
Page 82 Receptive colleagues…
Insurance money, Training and Seminars
Patients and Controls
What are we treating?
Scanning is moot - Liberate!
Buffalo Study advice
Membraneous issues seen?
Predicting restenosis
Page 83 Page 84 MSQLI (MS Quality of Life Inventory)
"tzootzi"'s wife
Total MRV (MR arteriogram)
Page 85 Starting with the big veins…
Measuring Cerebral Oxygenation
MS - not one size fits all…
Why study the neck only?
Study response of all symptoms…
Exclude MS family members as controls
Page 86 Why scrutinize studies?
Page 87 Ultrasound protocol question
Specific studies later on…
MRV and Baclofen Pump
Focus on treatment, outcome, learning
Page 88 Diminishing control group?
Online patient assessment
"astro" case question
Page 89 Dr S - (almost) Super-Doc!
Comments on "costumenastional" images
Venogram/Angio Contraindications
Clotting disorder and Venogram/Angio
Comments on Dr. Freedman interview
ED (not what you think!)
Collaterals indicate outflow obstruction
Page 90 Pacemaker and MRV?
How to get on Dr. S' List
Don't give advice to those who don't ask for it…
Diabetes, MRV and contrast
PPMS - too early to know…
Venogram vs MRA
CT Scan - pros and cons
Page 91 Euromedic
Dr. Dake trial question
Following/maintaining patient data
Consistency of follow-up evaluations
Page 92 Page 93 Page 94 "Informed Consent"
Angioplasty trials
Global data collection / Squeekycat questionnaire
Why do we need controls if it seems to work?
Science must prove it
Medical community needs convincing evidence
Experience, experience
MRV not good enogh for Azy, use contrast in MRV
When to start exercising again?
1 vs 100 (Treatment vs Study)
Page 95 Venogram test of choice!
Types of trials needed
Safety first
Studies and Doctor Skill Level
Vein rupture
"vivavie" - difficult Azy vein
IVUS benefits
"Informed Consent" requires more research
Stent size - pros/cons
Page 96 Dr. S. holding back?
Page 97 Volunteers needed for trial consent feedback…
Page 98 no test 100% accurate
Page 99 No improvement in PPMS but hopefully no progression either
Extensive reflux with no blockage?
Why not perform unproven techniques if they seem to work?
Look at CCSVI patients as cohort instead of MS'ers?
Stent migration possibilities
Catheter Venograpy and Irregular Heartbeat
Vein Valves
Doctors treat patients - not groups
Procedure not new, the group application is
Venogram - too much, too little dye
Page 100 Overstretching veins/ drugs to raise, lower BP
CTOS? What is…
Switching docs after procedure
One vein problem leads to another…
Dr. Zamboni advises staying on meds after procedure
Zamboni Letter
Does remission mean the stenosis went away?
Page 101 Why isn't vein dilated when there is elevation in pressure?
Mostly valve problems?
Page 102 Radiation / 3T MRV vs 1.5T MRV / Study length
Irregular heartbeats due to flow probs?
Hand and foot circulation improved by Jugular flow?
Page 103 Any proven association between CCSVI and other venous valve problems?
Page 104 Page 105 Damn A/C! That MRV sucks!
Flap, Web, Septum in veins
More on "Cutting" Balloons…
Vein healing process / Anticoagulation strategy
Page 106 MR Scanners and Metal
MS is the Real Enemy
Balloon and Stent size question
Duplication of Jugular Vein
Doppler, ECU, Mrvenogrm, Cather Venography - What can be seen?
When will Dr. S resume procedures?
Treating narrowed veins based on what?
Page 107 Page 108 Medicine (& Emoticon Use) is an art!
Page 109 Donate blood while on anticoagulants?
Narrowed jugular, CCSVI!
What medical records/reports should I bring?
Coumadin, Heparin / To use anti-coag's or not
Doctors should document MS symptoms and defects found
Page 110 Coumadin
Draining the Brain
"HappyPoet" test report questions
Cutting Balloon and Dural Sinus
Jugular Foramen
Fix blockage, increase vein diameter and flow?
"Patience, my patients!"
Acne and CCSVI?
Page 111 More CTOS…
Vertigo drug increase bloodflow?
Doing CCSVI (research) right…
Page 112 Stent or No Stent…
Things heard in a neuro’s office…
Stent Reluctance
Stent IRB in the future
Page 113 Hurry up and – wait!
Heart Flutters / Cardiac Rhythm
Page 114 Why do the procedure if benefits are unclear? / University providers needed
Can angio cause new stenosis?
Patients know best…
"Cheerleader" husband case
Page 115Page 116Page 117Doc’s away…
Page 118TIMS’ers making a difference!
Page 119Page 120Page 121Doc coming home…
Page 122Cutting Balloons
More on Cutting Balloons…
Iron Theory…
Other imaging forms?
Color Doppler Ultrasound
Dr. S job description…
Page 123Website Plans
FDA role/involvement
IRB Protocols
Europe first…
Biggest thread?
FDA/Stenting/Angioplasty
Page 124Becoming "Standard of Care"…
Need studies and data…
Always vein narrowing? MRV note
Catheter: Enter left side? Why?
Relapse after Liberation
MRV inaccurate/misleading
Venogram accuracy
Low/High Lesions, "Phasic"
When to use stents & Azygous ballooning
Page 125Diagnostic Only studies: wastle of money
Cutting Balloon and Bleeding?
Note on procedure cost
Dr. S Future Plans
Page 126Page 127Can illness bring back symptoms?
Procedure repetition? / Does MS type predict degree of improvement?
Can Clavicle affect Azygous vein?
Page 128Ultrasound procedure description
Page 129Call me crazy…
Ultrasound questions
Flair triggers / illness
Dr. S. Safety Study Description
RPMS classification
Page 130Page 131Lumbar veins
Post-procedure outcomes/Lumbar vein
Post-procedure outcome question
Inferior vena cava / Gonadal vein
CCSVI: Worse over time or damage accumulation?
IRB update
State of Imaging Study idea
Page 132Papers brought up by IRB
Page 133Hold onto your CD’s!
Page 134Page 135Break time…
Page 136IRB Proposal Denied
Page 137Page 138Page 139 Page 140Page 141Page 142What to do? What to do?
Page 143Page 144Page 145Page 146May-Thurner Syndrome comment
Page 147Check all Veins?
Resubmit proposal?
Difficulty with "Sham" Operation / Empathy
May-Thurner Disease comment
Don’t send money! (Will work for…BOOZE!)
Experience of doctors for randomized trial
Study while on DMD’s answers what?
(Glad you’re back, Doc!

)
Page 148IRB Proposal Points…
Belmont Commission Report: Protection of Human Research Subjects
BNAC Study and DMD’s
Page 14950/50 overall improvement
Page 150Vein measurement / comparison
Legitimate reasons to treat CCSVI itself?
Page 151Page 152Comment on Italy and CCSVI
Problem with IRB proposal…
Page 153Faulty valve, blood flow, pregnancy questions
IRB’s, Treatment clinics…
Catheter is best…
(Reminiscing…)
Liberation for "Fuzzy mentation"?
May Thurner, CCSVI
Doing the Procedure…
Page 154Page 155Dural Sinus, IJV Stenosis
Case Reports and Medical Journals…
Testing for CCSVI without MS diagnosis?
Why look at left Iliac and Renal veins?
Comment on news article,,,
Thyroid gland and CCSVI
Vertebral vein problems, Better esponse to second angioplasty?
Page 156Thyroid? Grave’s Disease?
Cerebral Venous Thrombosis CVT (and MS)
Can I use your images for CCSVI Imaging Atlas?
Page 157scholar.google.com
Page 158CCSVI opposition and progress…
How common is venous angioplasty?
Causes of headaches from angioplasty?
Azygous abnormalities
Page 159What good is this thread? Looking back…
Page 160Page 161Can azygous vein suffer if jugulars ae normal?
CCSVI Atlas / where to send images
Thyroid
Canadian doctor contact?
Thyroid (more…)
Thyroid (more…)
Make Money or Help Mankind? Both?
Trauma that can injure veins
Is catheter venography warranted if jugulars appear normal?
MS’er letters to no avail…
Non-MS blockage complications / Budd Chiari Syndrome
Dr. Hubbard comment
Page 162Procedure now or later? Pros and cons…
"Algis" and Taiwan
Any pre-CCSVI discussions?
It’s a personal decision…
Improvements gone after a week – what now?
Page 163Some insurance is paying for CCSVI
Aaron Miller
Procedure and stent complications?
Catheter Venogram / MR Venogram / Ultrasound
Veins and chemical trauma
High jugular stenosis repair?
Page 164"Nunzio" clarifies Mitoxantrone treatment
"Apologize only for ignorance you choose not to correct" – S. Sclafani, 7/2010
Post-procedure anticoagulation
Anticoaglation (Love Thy Doctor!)
Page 165Will ballooning keep bad valve open after balloon removed?
SUNY symposium (Sclafani, Siskin, Sinan, Haacke, Salvi) July 26
Inverted Valves
What to stop taking prior to procedure?
Abnormal valves
High pressure balloon
More on SUNY Symposium
Page 166Page 167Page 168Page 169Online CCSVI Atlas?
"LadyGazelle" Doppler image
Dr. Kostecki
IR – To go where no doctor has gone before
Page 170Contrast and Iodine
Transverse Sinus
Page 171Venogram one day, procedure the next?
Lumbar and SPMS, PPMS
"Mooshell" small external jug?
Lost defib. Wire causing CCSVI/MS?
Catheter Venography / IVUS
How commonly is IVUS used?
The Headhunter
Doc. S – no sedation, no analgesia
More on IVUS…
Page 172IVUS benefit outweigh the cost?
Can one treat an occluded inominate vein?
IVUS
Page 173Thrombosis question
Is IVUS catheter reusable?
Concerns about early CCSVI treatment
Dural sinus occlusions
Page 17462-90% incidence
If venoplasty isn’t an option, is surgery?
Second opinion – get one!
Interpreting "Johnnybaby’s" report
Page 175Aftercare/Relapse/Restonosis
Germany CCSVI
Find an IR who does complete Liberation
+/- IJV CSA delta
Page 176Risk of stroke during Liberation?
Can reflux go away gradually after Liberation?
Page 177(Holly) Dr S. Waiting List info…
Vein volume formula
Is this "Sticky Blood"?
Dr. Sclafani ASKS some questions…
Jugular vein size and flow rate
Symposium on CCSVI info…
Page 178DOPPLER DIAGNOSTIC OF CCSVI test prescription/Zamboni criteria
Page 179Catch re-stenosis early – consider 1 month check-up
Symposium talk…
Spinal cord and CCSVI question
Page 180Page 181Insurance and screening
Page 182How to do follow-up / Azygous question
Fact checking…
"LadyGazelle" case
Page 183Artery pushing jugular?
Page 184Page 185Page 186Props for Dr. Salvi / Setting up the ISNVD
Page 187CCSVI vs Cancer
Local follow-up
Cancers around the Azygous paper
Page 188Letter to Dr. Zamboni
Page 189China-bound!
Veins inside the brain?
Venogram and Dural Sinuses
Risk vs Benefit, Multiple Procedures
Anals of Neurology Rebuttal
West Coast Symposium?
Page 190Talking to my Doc / Commonly treated veins (historically)
Dural Sinus, Sigmoid Sinus
Is Diabetes a contraindication to Liberation Procedure?
Vein compression
Page 191IR’s coming up to speed
IVUS expensive
Treat in multiple visits?
Larger diameter ballooning of Azygous
Symposium Follow-Up questions
"nunzio" MRV comment
Page 192Multiple visits = Waste, more risk
Dilating Carotid impressions / Vagus nerve / Bradycardia
Lmbar veins / Doctor comfort level / Vein tear? / Trends?
Blood flow and nerve function restoration
Page 193Compression of Jugular by Carotid Bulb or Strap Muscle
(Symposium video links by "girlgeek33")
Page 194Low stenosis causes appearance of high stenosis/Dominant flow/Dural sinus thrombosis
More on 2-treatment strategy…
Ascending Lumbar Vein and small veins
Temporary feeling of "Normal"?
PPMS – especially need Azygos and Ascending Lumbar Venography!
Page 195Page 196Over-stretching veins?
Ballooning info….
TEE (Transesophageal Echo)
Air in veins?
Page 197Page 198Page 199Page 200Page 201Jugular ligation
Page 202Page 203"Nunzio" MRV comments - Vertebral veins
Comments on German and Swedish studies
Stenting questions
Anticoagulation
Flared stent?
Balloon Pressure
Normal reflux?
Balloon questions
Page 204Cutting balloon
German and Swedish study
Page 205Kissing Balloons
Realistic Expectations
Stent question
Page 206Relapse question
Page 207More relapse theory…
Left side entry / May Thurner’s
More May Thurner
IVUS
Nonthrombotic Ilizc Vein Lesion (NIVL)
Renal vein / May Thurner
Cholesterol
IVU$
Page 208CCSVI ala Zamboni
Do Sinan and Petrov use IVUS?
Talking & exposed jugulars
The Pill, steroids
Problem with jugs and verts
Repeated dilation
Page 209Page 210Page 211Iliac, Renal, Lumbar drainage
Stress, CCSVI, MS
Thrombosis, Stents
Page 212Should kill 2 birds with 1 stone!
Veins and brain drainage
Endothelial cells and permeability
Why aren’t red blood cells found in spinal fluid?
Accidents and CCSVI
5-40% has not met criteria for CCSVI
My CCSVI 1-year anniversary!
Page 213Page 214Developing a standard protocol
Stress, CCSVI, neurological symptoms
Total blockage of azygous
Stenosis, reflux
Page 215Zamboni protocol question
May-Thurner treatment
Azygous restenosis incidence rate
Venous insufficiency
Are pulse steroids bad before angioplasty?
Page 216Post-Zamboni IR activity
May-Thurner and symptoms
Antihistamines
Page 217Can narrow/blocked veins cause high blood pressre?
No improvement. Now what?
Zego machine?
Jugular veins, restenosis
Numb leg after procedure
MRV after chiro adjustment?
Page 218Page 219Balloons – avoiding breakage
How high up? / Vertebral veins / High venoplasty / Balloon low may fix high stenosis
China and MS
Page 220Can hypertension cause narrowed veins?
Valves, stenosis, scar tissue, artherosclerosis
Neck mass and CCSVI, scan interpretations questionable
Page 221Bruising and venogram / Hypercoagulability
The need for a CCSVI treatment registry
Aspirin and Hypercoagulability
Actin
PPMS prognosis
Neck massage / Angle for Jugular vs Vertebral vein flow?
Nattokinase
Stents-a-many…
Incision technique and scarring
Page 222Incision technique and scarring
Hypoplastic Jugular
MRV and CCSVI
Trauma
Page 223Scarring underneath skin from incision
What Sonographers and Angiographers should look at:
Page 224Page 225What happens to collateral veins after Liberation?
Page 226Page 227Balloon question
Certification of CCSVI Treatment Centers
Azygos Vein question
A May Thurner? Image
Notes from Belfast Discussion/Debate
THANKS DRBART!
Page 228Disease duration and burden predict outcome?
Missing Azygos
Page 229Page 230Page 231MS and CCSVI
Ultrasound vs MRV to screen
Be part of a study – not necessarily a randomized trial
Vertebral veins
Comment on randomized trials
"B-mode"
Vertebral veins
Blocked Jugular AND Vertebral veins
Separating non-MS symptoms from MS
Page 232Vertebral, Subclavian, Azygous stuff
Comments on treatment
Would you stent the first time?
CCSVI screening
Stents, Balloons
Vertebral vein valves
Page 233The need to improve Doppler
Progressive dilation, Cutting balloons
Skewing results, "Metal-mania"
Page 2342 obstructions = CCSVI
Lumbar Veins
Dissolving stents
Veins – Collapsed vs Stenotic vs Narrowed
I’m here to stay!!!
We do not know whether or not CCSVI causes MS
Symptom correlation to specific vein issues?
CCSVI theory for upper spinal cord lesions
Page 235CCSVI theory for upper spinal cord lesions
Vein wall injury
Reasons for worsening, then recovering symptoms
Felux types - Is intervention warranted in the absence of reflux?
Does balloon dilation stop blood flow?
Azygous challenges
Ballooning discomfort, flow stoppage
Page 236Iliac vein / Coumadin and clots / Blood clots after angio
Page 237Azygous and webs
Radiation and stenosis? Angio can be done how many times?
Vein elasticity
Scarring, Restenosis, "Rotor-rooting"
Valves and catheter advancement
May-Thurner
Page 238Shunts
Iliac vein, swelling
Treating one vein, checking the other for improvement?
Stenosis location and disability / Jugular vein has been dx’ed as a Vertegral!
Detecting restenosis quickly with Ultrasound
Page 239Safety first – the randomized trials…
Stent concerns / N-Acetyl Cysteine
N-Acetyl Cysteine
Neck brace? / Stent issues
Page 240Trying to set up shop…
Heated balloons?
Page 241Vit K vegetables. Clotting, Coumadin (Warfarin) dose, diet
Proving CCSVI will take time!
Contrast media risk and Saline
Traveling / Hypoxia and clotting
Finding Nemos (Neuros)
Drinking fluids and Contrast Nephropathy
Laser for clots?
Page 242Page 243Sore jugulars, follow-up with Duplex US B-Mode
Stopping Atrophy?
Reflux – 2 kinds
Beirut study
Thyroid cysts and collaterals
"Comparative intent to treat study"
Dilated blood vessels and blood pressure
CCSVI likely congenital
Page 244Blood thinner – Antiplatelet and Anticoaglation therapy / Follow-ups
Page 245Web formation
Future treatment plan for ballooning
Vein size diameters – IJV/azygous/hemi-azygous/vertebral/lumbar/left iliac/IVC
Sedation and increased tolerance to meds / Stenosis correlation to which side
Trauma and azygous damage?
Page 246Azygous web
Valsalva, reflux
Page 247Vasalva, bulging neck veins
38% reduction of NEW lesions is normal?
Advice for people who don’t see improvement
Page 248CCSVI and Zamboni criteria
4 CCSVI Pattern Types (see Squeakycat post)
Page 249Endothelin-1
Azygous, Doppler, hemodynamic
Thyroid gland disorders
Stents and thrombosis, better angioplasty
Terminology – proximal, distal
Comment on external jugulars
Page 250Getting Color Doppler Ultrasound done
B-mode vs Doppler Ultrasound, Duplex Ultrasound
The Interventional Radiologist
(PAGES 251+ CONT'D IN POST BELOW)