This Is MS Multiple Sclerosis Community: Knowledge & Support

Did you not have the opportunity to review a clinical report or prior venogram images to know the history?

If not, was it not possible to contact the prior treating physician? I would think prior interventional history would be key information to have before going back in(?)

Thanks Dr. Cumming, a very good warning to all watching.
Doesn't give the CCSVI treatment stats a fair go having this standard of work done! Sadly there will be allot of people wondering about their treatment!

Very disappointing indeed to see this. I hope the procedure goes well and you are successful at opening it up.

i hate it that some have gone for treatment praying that it helps and got the bam,slam thank you mam treatment. but, thankfully this is changing with more and more good doctors to choose from. plus they are learning more and soon i hope this all gets figured out.

even if it happened to only one person it is one too many that is put through additional misery. but, sadly we "can" learn from mistakes. and that is the price that is being paid by some especially the ones first in line.
but, somebody had to do it and i hope that at least it helps to make the future brighter for those of us that have symptoms they named ms.

dr. cummings, i pray you have success with this patient.

C'mon, a little credit? I've at least got Dr. Sclafani's methods memorized.

How much is it to hire all the equipment? Can't be too expensive and if you set your rates to only cover costs for your first few procedures.. You need to put your skills to the test!

credit given

as i have said before when do you join my residency program

btw
PM please

Of to the Head Masters with you Cece.
Hey when are you and Dr S getting together?

thanks everyone

NZer1, hopefully soon!

the volume of thrombus was quite small and is not likely to cause symptoms. we do this all the time when we treat clotted arteriovenous grafts for hemodialysis

i am not glib about this. thrombosis is a great disapointment. We are able to dilated the vesserl. it is from that point that thrombosis occurs. so we do have something to lose.

i thfnk we need to continue to think of solutions to hypoplasia

Sorry to intrude; but is Taxol ever used for clots?

Hi, Dr. S.

Some studies report that about half of the treated patients have problems with valves. How many valves are there, and where are they located?

Would it make sense to test and treat valves before treating problems in other areas? For example, if opening a stuck valve makes all the collateral veins above it go away, that would minimize any trauma that might otherwise have occurred if the doctor systematically treated any problems found as they occurred.

The arrangement of valves in the body is quite variable. Typically there is 1 valve in the proximal IJ just before it joins the subclavian vein to form the inominate vein.

There has been discussion about only treating that area of the IJ first and (if I remember correctly) this is what Zamboni has advocated.

Again, this gets back to the discussion of doing enough versus doing to much. How big do we balloon and what areas do we balloon? And then trying to manage cost particullary for cash paying patients. So, its hard to only treat the proximal IJ when we see a distal IJ stenosis.

This is also one of the reasons Sal and I worry that we do not know enough to do a randomized study. We do not know the best way to do the procedure to get the best outcomes.

For that unexpanded stent, how is it that it hasn't clotted? Or is it not known if it has or hasn't. With turbulent flow there and a stent to clot against, it's hard to believe that jugular has a chance.


Gotta fix that picture!

Hi Algis,
I would be interested in knowing what your thinking is here on Taxol. I know that it induces microtubules to polymerize into a highly stable form, but I'm not clear on what it would do for a clot.

Thanks, NHE