Dr. Makris has not focused on CCSVI, but has maintained his busy vein practice, which means he has less experience with CCSVI. And your case is complex. If the occluded vein ends up being untreatable, it would be best if all other CCSVI stenoses are found, and the best means to find all stenoses is through IVUS, according to the IVUS abstracts we've seen. The closest IR to Chicago who uses IVUS is Dr. Cumming here in MN.
I think Dr. Ferral was using Plavix and aspirin, with the plavix started prior to treatment? Antiplatelets instead of anticoagulants? Wonder if he's switched to Pradaxa now. Thrombus might be due to oversized balloons or insufficient anticoagulation or maybe random bad luck. Treating a jugular clot after it forms with anticoagulants seems to be fairly standard, but that does nothing to remove the clot, it's just intended to keep the clot from worsening and the body to clear the clot on its own. Especially when the clot is caught early, a repeat procedure to manually remove the clot might be preferable. These veins are important. I hate occlusions. Wishing you the absolute best with your upcoming treatment. First the occlusion must be cleared, then the vein must be kept open, which is a challenge in itself.