dania wrote:I just had another CT 64 slice scan yesterday and I am sending the images to my cardiothorassic surgeon by email. I completely trust his judgment and that he will be able to accurately interpret the images.
That is great news, dania. Can't believe your doctor can be in charge of follow-up despite the distance. I hope that CT scan shows two healthy free-flowing veins.
Ragesht, keep us posted on what you find out when you get imaging or the procedure done! I would suggest going with EHC over a local cardiovascular doc if the local doc has not diagnosed or treated CCSVI before. There is a risk of not having everything diagnosed, being undertreated and a risk of vein injury with doctors inexperienced with treating CCSVI no matter how experienced they are at treating other vascular issues.
drsclafani wrote:Cece wrote:Dr. Sclafani is right about IVUS and venography. But remember that IVUS+venography is invasive, so this is done as part of the procedure itself. If you are looking for noninvasive imaging to help decide if you want to go ahead with the procedure, I would still recommend getting a doppler ultrasound done.
cece, the question asked what was the best way to see stenoses
I should've gone with just the part about Dr. Sclafani being right?
Since the doppler does not always accurately diagnose CCSVI, if a person comes back negative for CCSVI, it is still worth pursuing the procedure itself. And the best procedure is venography+ivus. Otherwise there will be stenoses that go undetected and therefore untreated. But we've got ragesht pointed toward EHC, where IVUS is used but, if my memory serves, high pressure balloons are not used. So that is a different conversation, on the safety and importance of high pressure balloons.