Scorpion, it's because what I understand of his diagnostic technique in the azygous (partially inflating a balloon throughout the entire azygous and looking for where a web or something is providing resistance), it's really smart.
IVUS and properly imaging the azygous were among the solutions, then Dr. Sinan added his solution, all addressing an already identified problem.
(edited: apparently these are a different sort of azygous web, not the garbage pail lid kind.)
But I agree that we need published research to know for sure.
Daniel, it's never been possible to be treated in Kuwait unless you are Kuwaiti, but Dr. Sinan has been bookable for treatments in Egypt. There was a blog of a patient's experience there, where Dr. Sinan kept trying to get a resistant stenosis to open and was considering giving up but he went to the highest balloon diameter he uses and swooosh it opened. Not sure of the ultimate outcome.
I don't call it medical tourism for Liberation treatments not available locally.
I think that is the very definition of medical tourism: traveling for a procedure either not available locally or not available at the price you want. The problem is that there are three parts to the venoplasty treatment and each part is as important as the next: first finding all the CCSVI issues through imaging and during the procedure; then successfully opening them all; then keeping them open through anticoagulants and post-procedure doppler scans at 1 month, 3 months, etc, to catch any problems. Dr. Sinan has done a great job with some innovative techniques at first finding, then opening, the ccsvi malformations, but then the patients go home and that third part of the follow-up care is done differently by everyone and poorly by some.