MULTIPLE PROCEDURES ON VALVES

A forum to discuss Chronic Cerebrospinal Venous Insufficiency and its relationship to Multiple Sclerosis.

MULTIPLE PROCEDURES ON VALVES

Postby AJMcE » Sun Apr 24, 2011 5:01 am

I had a balloon angioplasty procedure in December 2010. The only problem found was a slight flow impairment (50%) in the valve in the LIJV, this was ballooned. After the procedure I felt really good, better balance and coordination, with much less fatigue. However, the improvements appear to have worn off after about 3 months.

Is it possible that the valve has stopped working again, if so, is it likely to respond to further ballooning? How tolerant are valves of multiple procedures?
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Postby jimmylegs » Sun Apr 24, 2011 5:05 am

i had posted this elsewhere thought you might be interested

http://eurheartj.oxfordjournals.org/con ... 1164.short
Effect of magnesium on restenosis after percutaneous transluminal coronary angioplasty: a clinical and angiographic evaluation in a randomized patient population
Abstract
Restenosis is a major clinical problem following successful percutaneous transluminal coronary angioplasty. Since magnesium has vasodilator and antithrombotic effects, this study was designed to evaluate its potential to decrease the rate of restenosis.
In an open-labelled, randomized controlled study, 148 patients underwent successful coronary angioplasty. Ninety-eight patients were treated with ...[IV] magnesium sulphate ... 49 of them continued with oral supplements of magnesium hydroxide 600 mg. ... 50 patients served as controls (group C).
... A trend towards a lower rate of restenosis (>50% reduction in luminal diameter) was noticed in the magnesium groups (28/110, 25%) compared with the control group (20/53, 38%) P=0.10. ...
It is concluded that intravenous administration of magnesium in patients undergoing coronary angioplasty is feasible and safe and that the beneficial trend of magnesium to prevent acute recoil and late (within 6 months) restenosis is encouraging and should promote further investigation in a larger patient population.
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Postby Cece » Sun Apr 24, 2011 7:46 am

As far as we know, the veins are tolerant of multiple balloonings. Some intimal injury is unavoidable anytime a procedure is done, even a guide wire going through can cause this.

Best way to know if your jugular has returned to how it started is to get a cheap and easy ultrasound done.

What stands out to me is that only one stenosis was found in one jugular? Could something have been missed in the other jugular or the azygous?

All the best.
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Postby AJMcE » Sun Apr 24, 2011 11:21 am

Cece wrote:As far as we know, the veins are tolerant of multiple balloonings. Some intimal injury is unavoidable anytime a procedure is done, even a guide wire going through can cause this.

Best way to know if your jugular has returned to how it started is to get a cheap and easy ultrasound done.

What stands out to me is that only one stenosis was found in one jugular? Could something have been missed in the other jugular or the azygous?

All the best.


Thanks Cece,

When I had the procedure , the point was made, that my MS is slight, i.e I am pretty mobile, only need a stick or support occasionally. The "slight" problems are fatigue, balance, coordination and cognitive issues (i.e confusion).
The right jugular looked a funny shape but the flow was good, the azygos apparently looked fine. A slight reflux had been identified in the left jugular vein. It was only during the procedure, that the valve issue was picked up. I think I do need to be rescanned, I just didn't know whether
valves behaved differently to the rest of the vein system.
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Postby Cece » Sun Apr 24, 2011 12:40 pm

AJMcE wrote:I think I do need to be rescanned, I just didn't know whether valves behaved differently to the rest of the vein system.

Ah, got it.
It's almost always the valves that are wrong in CCSVI. So any talk here about restenosis is about restenosis of the valves.
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Postby MegansMom » Tue Apr 26, 2011 9:12 am

I just want to point out that the prevalence of Azygos involvement seems to be higher with certain physicians. This is odd....maybe some doctors just don't find the abnormality.
This would lead me to believe some patients are under treated. The newest recommendations are to completely explore the Azygos not just via venogram dye...but by entering it .
Seems to me that some anomalies ( the defect) may be hard to detect...webs, flaps, etc. can appear invisible .
I believe that in the future physicians (IRs) will all use IVUS (intravascular ultrasound) as it is " in the pipe" instead of "thru the pipe" and can reveal hidden blockages.
It is an expensive machine but I bet it becomes commonplace as they realize that it can increase the complete success of anomaly location, differentiation and treatment efficacy.

The AZYGOS is hard to access in many cases.
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My 35 yo daughter is newly dx 8/19/10 (had 12 symptoms)
Dx with Type A CCSVI- 1 IJV & double "candy wrapper" appearance of her Azygos
Venoplasty done Sept 21, 2010
Doing extremely well-
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