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Cece wrote:...is about you
http://thinkccsvi.com/2012/01/20/lrv-yo ... about-you/
Some thoughts on renal vein stenosis, from a website put together by VAC. According to this page, a stent is rarely necessary, and ballooning is successful at opening up these renal vein compressions. I have heard the opposite from other doctors, including Dr. Sclafani and Dr. Arata. Who is right?
Included in that page is a link to their renal vein stenosis (nutcracker) page.
Have I mentioned how much I love CCSVI images!
Ann Urol (Paris). 1986;20(2):137-41.
[Responsibility of the left renal vein and inferior vena cava in certain cases of myelitis and syringomyelia. Value of ligation of the venous reno-spinal trunk. Apropos of 30 cases].
Frantz P, Jardin A, Aboulker J, Küss R.
Certain diffuse forms of myelitis may be due to raised intra-spinal venous pressure resulting in veritable "varicose veins of the spinal cord". The origin of this increased pressure is often multifactorial, but may be due to venous reflux of blood from the left kidney into the intraspinal plexuses via the reno-spinal trunk. Ligation of this trunk results in a considerable and often complete improvement in the neurological syndrome. This operation was performed for the first time by our team in 1973 and since then has been successfully performed on 30 occasions for 21 cases of myelopathy and 9 cases of syringomyelia.
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DrCumming wrote:Sal, are you primarily stenting these patients or trying angioplasty first?
drsclafani wrote:DrCumming wrote:Sal, are you primarily stenting these patients or trying angioplasty first?
mike, i am stenting them primarily since my first angioplasty alone experience was a failure.
Criteria for stenting include extensive collaterals, symptoms (which include ccsvi symptoms), compression to near occlusion as seen on IVUS and pressure gradients greater than 3mm.
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