mrhodes40 wrote:Then there's Dr Zamboni who is not as worried about the volume going through because for him it is about evaluating with the doppler for reflux to hone in on the intraluminal defect--correct it--then confirm with post treatment dopplers he did clear the problem that was slowing down the cerebrospinal system. Of course congestion is an issue here as well but at this time his primary method for determining healthy flow is reflux. There is precedent for this because in the legs and venous insufficiency it is known that reflux causes highly local increased pressure right where that swirling chaotic flow i--regardless of overall congestion.
My neuro and I talked and we re-affirmed there is nothing to do but manage the SP slide at this point. He doesn't blame me for trying anything new because he knows where this is going (even thuogh he believes CCSVI is nonsense).
congestion vs reflux may be a moot point, if the real problem is an intraluminal defect like a web or a septum leftover from embryologic development (as it is in Budd Chiari and as histology CCSVI studies so far seem to show) then repair will correct both IF---IF repair is done correctly and completely and the aberrant tissue does not recur.
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