I checked the case report that he listed here and it is not written there, but in person last February he'd said that both veins had very good flow afterwards.
At the procedure this past Monday, he found stasis in the left jugular, where the contrast goes up and down but stays in the vein. It was when he was interrogating the dural sinus on that side that he saw that, upon injecting contrast, all the vertebral veins lit up, which they shouldn't have.
I am glad to know that I do not have dural sinus stenosis on either side. One less thing to worry about.
Last time the ballooning was painful, this time it was not at all. Fentanyl was used both then and now. Last time he was not doing the dural sinus check, so I hadn't had that before. It was uncomfortable but not bad.
Last time he had not gotten an image of the renal vein, this time he did. He changed how he shapes the catheter and this has helped him get into the renal vein. I think it helped him hook into the renal vein but remember no actual hooks or anything sharp involved....
Last time the entry point was through the femoral vein, this time it was through the saphenous vein, a change I absolutely support after having heard of a friend who developed a femoral vein clot after a procedure by another doctor. A femoral vein clot can possibly be life-threatening or loss-of-leg threatening although these would be rare complications. The saphenous vein is less critical if there would be any complications and the entry point is in the same area in the groin as far as I can tell. They are working on durability or how to get the results of the procedure to last ("done in one" would be ideal). Unless durabilitiy is improved, this may be a procedure that we repeat every six months or a year or that a percentage of us repeat like that. So we might as well not put the femoral vein at risk while we are looking after our jugular veins.