Rosegirl wrote:Cece, you said that it is unusual to hear of stenoses in the vertical portion of the azygous. What is this comment based on? Does it imply that other doctors are not treating that section of the vein and patients should be sure to ask to have it evaluated?
No, this is from statements by Dr. Cumming and Dr. Sclafani.
What I meant was that stenoses in the vertical area of the azygous are less common than in the arch, and that doctors may be over-treating this area, and that it should be evaluated with IVUS before treatment.
Here's a case study from Dr. Cumming where a vertical portion of the azygous appeared to have a stenosis, until it was examined under IVUS:
Here is Dr. Sclafani in the same thread, discussing the "candy wrapper":
I couldn't find it in an easy search but Dr. Sclafani has said in the past that he mostly finds lesions in the arch, not the vertical portion.
Dr. Cumming mentioned at my appointment earlier this month that he is finding fewer stenoses in the azygous now that he is using IVUS.
ok, here is Dr. Sclafani saying that he is very skeptical of the mid-ascending azygous stenosis: