http://www.facebook.com/notes/arlene-pe ... 4524950517
Justin Gooding...CCSVI venography and intervention
He discussed the history of CCSVI and the pathophysiology...delayed perfusion, inflammation, iron deposition. He uses the MRV flow data as a map to localize where he is going during the venoplasty. This was discussed by others as being essential. Sometimes the IR cannot detect a problem but the MR flow data is showing a problem the IR will follow the map of the flow and treat an area not detected with venography.
What do you think of this idea? It's taking the information from MRV over the information from the venogram, so treating an area that looked bad on MRV but doesn't look bad on the 'tarnished gold standard' of venogram.
I ask, where is the IVUS, for these situations? Why treat blindly when you can see with IVUS? Am I wrong?