And here's the main one I was after...now I can go back to what I'm supposed to be doing!
drsclafani wrote:With regard to the collateral veins, they may be valuable. I have not yet dilated any in ccsvi, but i have done so in patients on dialysis. but if a patient had occluded main flow vessels, i would consider dilating these veins. smaller vessels means using smaller balloons. I have one patient who comes to mind that i have thought about this seriously and may do it soon. however no publications yet on the subject
He doesn't seem to be talking about the verts, though. He's talking about ballooning collaterals. This quote stuck with me because of the 'may do it soon'...
StL, I'm not aware of any problem with the spine or bones that would be involved with this, do you still think that's the case? Verts are just the alternate drainage route, for when we're standing. They have been angio'ed by Zamboni's team, so there is hope. Sorry though that it's not the easiest problem to fix!