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My impression is that Dr. Beelen has been doing the CCSVI procedure for longer and that Dr. Jaworski is newer to CCSVI.
I agree about the importance of minimizing vein injury. If the veins are not opened wide enough and reclose, they can always be reopened, but if they're damaged, then that is no longer true. There are doctors with more conservative techniques: using IVUS to diagnose and size, being cautious about oversizing, prescribing true anticoagulants post-procedure, prescribing anticoagulants for a longer period of time, stenting very infrequently, only ballooning if a stenosis is identified (there are some who have 'felt out' the azygous or innominate veins through ballooning), even suggesting bedrest post-procedure to keep the jugulars open, limiting the duration of the ballooning, not using high pressure balloons, not checking veins other than the azygous and jugulars because those were the only veins published on by Dr. Zamboni. I am trying to think of other conservative techniques. There was a time when I thought aggressive techniques like over-sizing was the best for everyone but then doctors started seeing scarring and injury in those patients. CCSVI is still a work in progress, and waiting is a reasonable strategy. I agree about gathering as much information as possible and that some of the information is conflicting.
I am curious about trying NUCCA, we seem to be hearing more and more about it. NUCCA can't clear an intraluminal abnormality from your veins, so if that's present, venoplasty would seem to be the way to go, but maybe NUCCA can improve the flow of cerebrospinal fluid which is important. Cheer mentioned in a different thread that we don't know how long NUCCA holds up? In some patients, the atlas goes out of alignment quickly. Just as after ballooning jugulars, some jugulars restenose quickly. Not everyone wins.
Are you looking for somewhere to get tested, and then have time to think through the test results before deciding whether or not to go ahead with it? You're not looking for the medical tourism all-in-one trip where you get diagnosed one day and treated the next. The issue is that the testing is imperfect and there are people who have negative ultrasounds but positive venograms once the procedure is underway. My own CCSVI was severe enough that it showed up on two pre-procedure ultrasounds, on an MRV, on the flouroscopy, and on IVUS! There was no missing my blockages, they were near-total blockages. So when the testing showed the severity, it did help me feel more confident about going forward with the procedure.
Good luck!!
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