bruce123 wrote:The problem is that there is the chance that they could damage the wall of the vein while doing the procedure and would need a stent to repair it.
patientx wrote:I think the point of Bruce123's post is being missed:bruce123 wrote:The problem is that there is the chance that they could damage the wall of the vein while doing the procedure and would need a stent to repair it.
Sometimes during ballooning of a vein, it can rupture. And sometimes a stent is needed for repair (though it may heal on its own).
I guess the stent could still be declined if this happens, with the other choice being to potentially bleed out. It sounds like bruce's doctor was being up-front about all the potential complications.
Cece wrote:I'm not sure if by damaging the wall, that means rupture or if it also includes the scenario I was given last summer, where the vein recoils so that it's worse than it began.
Rupture had three methods to deal with it: manually compress it (this can be done in the neck but obviously not the azygous); ummmmm I think number two was use the balloon to compress it from the inside; and third possibility was use a stent. So even in that scenario, the stent would not have to be the very first option tried. I am not sure how the use of anticoagulants before the procedure, so the patient is anticoagulated during the procedure, would affect the results of #1 and #2 methods. Rupture had not happened in any of Dr. Sinan's patients, despite the use of aggressive big ballooning.
drsclafani wrote:Cece wrote:...
My questions: are these high pressures now enough to increase the risk of rupture? Is this going beyond what Dr. Sinan had been doing, since we've been relying on his reported demonstration of safety?
In the unlikely event of rupture, what would you do? A few months back, it was said on the forum by someone that some doctor (sorry, I can dig for specifics....) had experienced a rupture and had solved it by placing a stent.
I think that the pressure is not the major concern, it is the diameter that is most important. Once Dr. Sinan showed me that the vein could tolerate the size, i decided to use them. however dr sinan is using "poor man's cutting wires" to raise the pressure effect. It just didnt seem like it would be as effective as high pressure balloons. Of course there is risk of rupture, even at 10 mm. we will have to see over time as we hear reports of rupture incidence in the literature.
i can think of three ways to reduce bleeding from tears
1. manual compression of the torn vein
2. a stent to allow blood to flow by the torn area
3. reinflation of a balloon to allow some sealing of the tear.
MrSuccess wrote:just a suggestion PX ..... why don't you share any valuable information you have before hand . Otherwise .... it seems like you are laying a trap.
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