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Treating CCSVI seen on MRV but not on venogram?

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Cece

Post subject: Treating CCSVI seen on MRV but not on venogram?

Posted: Mon May 16, 2011 7:49 am

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Joined: Mon Jan 04, 2010 4:00 pm
Posts: 8554

From Arlene Hubbard's notes on the Hubbard conference:
http://www.facebook.com/notes/arlene-pe ... 4524950517

Quote:

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?

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WeWillBeatMS

Post subject:

Posted: Mon May 16, 2011 8:12 am

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Joined: Wed Feb 03, 2010 4:00 pm
Posts: 169

Cece,

You should repost this on the IVUS thread by Dr Cumming where both he and Dr Sclafani answer questions.

WeWillBeatMS

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Cece

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Posted: Mon May 16, 2011 9:27 am

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Joined: Mon Jan 04, 2010 4:00 pm
Posts: 8554

I wasn't really asking, more pontificating that IVUS is best.

Though I'd welcome the good doctors' opinions as well.

It seems to me that, the higher value you put on our jugulars and azygous veins, the less you want to risk ballooning unnecessarily because there can be damage to the vein. I place a very high value on jugulars. So,that lends itself to conservative treatment.

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Board index » Treatments » Chronic Cerebrospinal Venous Insufficiency (CCSVI)

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