Page Question Topic
Page 1
Neck
Colleague acceptance
Valve probs
New problem in jugular
Stenosis come and go
Page 2
Effects of low flow
Collateral veins
Contact info
Page 3
Blood flow
Venogram
Page 4
Jugular access
Low blood pressure/mean transit time
Venography
Venography
Angioplasty debris
Page 5
Angioplasty nerve damage
Venoplasty through heart
Stenosis location
Valve problems
Page 6
Intravascular ultrasound
Collapsing veins and treatment
Ballooning skeptics
Ballooning solve valve probs
Page 7
Dr. Love
Alternative solutions
Flow and reflux
Lumbar veins
Spinal cord drainage
Angio and stents
Page 8
New covered stent
New stent development
Page 9
Vein repair
Blood circulation problem
Angiogram CCSVI diagnosis
Pressure gradients
Stents
Page 10
Pocket in IJV
Procedure curiosity
Page 11
Blood flow vs lesion location
Veins in CCSVI
Page 12
Addressing stenosis prior to procedure
Restenosis cause/prevention
Page 13
Too much brain drain
Restenosis prevention / Vitamin K
Doppler question
IBT
Cutting balloon
Page 14
Page 15
Vein narrowing quantification
Vein wall weakening
Doctor experience
Vein scenario question
Venogram learning curve
Sleeping position
Sclafani peers
Page 16
Childhood CCSVI detection
Page 17
Childhood heart operation
Pressure gradients
Ballooning veins
Procedure follow-up
Treating early MS'ers / CCSVI
Problems found in all patients
Seizures and angio
Page 18
Angioplasty
Vertebrobasilar insufficiency
Collaterals and stenosis
Situation impression
Distending vein / collaterals
Page 19
mailto:ccsviliberation@gmail.com
Cold hands/feet
Low blood pressure
Surgical repair of stenosis
Page 20
Presence/absence of valves in jugulars
Radiation and CCSVI
Bad joke about Hillary Swank (diet)
Page 21
Upper narrowing significance
Sclefani's dad/childhood
Blood thinners
Vascular malformations
Ultrasound question
Testing
Post-procedure
Page 22
Flying and anticoagulation
CT-V Scan vs MRV
Page 23
Pre-departure advice
CT-V question
Vein elasticity
Flying and anticoagulation
Real stenosis
Vein scar tissue
Page 24
Causes of narrowing
Radiology 101
Page 25
MRV question
Femoral nerve damage during angio
High stenosis
Colleagues
Improvements?
Page 26
Sclefani procedural improvements
Page 27
Leiden Factor V and stents
Azygous
Sinuses
Inversion
Legal fear / procedure stalls
Page 28
Elastic recoil
Page 29
Page 30
MS treatment resistance
Research and procedure
Research and procedure
Research and procedure
Page 31
Elective procedure?
Iron theory
Page 32
Neuro participation w/ Sclefani
Treatment complication comparison
Page 33
Kuwait
Positional flow
Neuro recruitment
Page 34
Controls
Page 35
Page 36
Only 7 years of proof…
Insurance economics
Page 37
Procedure risk
Iron theory
Page 38
Page 39
Iron question
Iron deposition
Risk-benefit
Kuwait comments
Old dogs…
Sauna post-treatmenr
Umbilical cord question
BNAC
Diagnosis/procedure codes
Page 40
A new inspiration/gratification
Page 41
Dr. Sacks
Procedure stats
Congenital/non-congenital causes
Page 42
Only 1 jugular vein
Hippocrates Oath (modern)
Page 43
Fetal demise
Crappy vein syndrome and MS
Invisible "missing" jugulars
Vein dye
German peers
Red feet
Page 44
Vasodilation
IRB process
How to help Dr. S
Pregnancy stuff
Stents
Physical therapy
Page 45
Student interest?
Page 46
Thalamus
Vein treatment
Stent issue
Pregnancy and blood volume
Chiro neck manipulation
Page 47
High EDSS question
Azygous MRI imaging
Carotid artery rubbing, sleepiness
Legs after treatment
Contact info
Page 48
Fatigue vs Sleepiness
Zamboni pathological reflux definition/paper
"Confounding variables"
Multiple angio's
Duplicity and drainage of critical areas
MS and multiple diseases/conditions
Page 49
The power of suggestion…
Catheter Venography with IVUS
Page 50
Stents and Chiros
Dyes and Reactions
Page 51
Kuwait comments / Letter to Dr. Sinan
Response from Dr. Sinan
Upcoming trial description
Get on a list!
Page 52
Echo-Doppler discussion
Pressure and reflux
Normal, Anomaly, abnormality
Seek testing quality
Screening vs definitive testing
IJV, collagen, connective tissue
Throbbing neck veins
CCSVI and Tinnitus
Relax after stents
Page 53
Vertebral vein reflux/getting 2nd opinons
More Kuwait…
Relapse/Restenosis
Getting IRB approval
Transcranial magnetic stimulation
Rici
Page 54
Page 55
"Doctor-speak"/word play...
Local NYC IR interest
Nunzio showing off
Page 56
Zivadinov's Iron Deposition
Blood Thinners and Ballooning
Vasalva
Ballon Angioplasty Trial Obstacles
Non-MS'er testing
Aspirin and Venogram
Ultrasound and Intracranial Veins
Dr. S plans to treat!
Some veins too small to balloon, verts and collaterals...
Page 57
Page 58
Must test invasively
Stents more or less permanent
Can venous issues develop from trauma?
Positive/Negative Reflux
Hospital practices
Page 59
IRB approval = hospital go ahead
CCSVI is hospital issue, not US DHHS
Page 60
Restenosis as a control
Page 61
Robert cont'd
Trial details
Visible external malformations
Questions for your surgeon
Sleeping position question
CCSVI Patient Registry?
Page 62
Which docs have the best experience?
Page 63
QUIT CALLING IT SURGERY!!!
Neurovasomotor problems in extremeties
Continue immunosuppressing drugs just prior to procedure?
To stent or not to stent?
Page 64
Doesn't IRB know Liberation is safe?
Beyond azygous and jugular?
Why does CCSVI warrant treatment? Proving it…
Spinal cord MS
Restenosis? Go right back to venogram…
Page 65
Dramatic improvements?
Hotels near Dr. S
Page 66
Guessing/Waiting is the hardest part!
Nitro-Liberation Warning
Improvements by MS type
In-stent Restenosis
Artery vs Vein ballooning/stenting
Placebo doubts
Jugular stent design
Stenosis size/location treatment
Page 67
Azygous learning curve
CT Scans
Bifurcation narrowing
The Elusive Azygous
Page 68
Vein replacement
CCSVI criteria
Is lesion & stenosis location related?
CCSVI Tests and Descriptions
Venograms missing abnormalities
No Jugs required!?!?
Page 69
Page 70
Variation of CCSVI abnormalities
Scan entire body?
Page 71
Missing jug cases
Dr. S.'s IRB draft
Advice for Newbie IR's
Page 72
Teamwork planning
Vein grafting
Trials and Trickulations
Page 73
Longterm prognosis
Catherization thru inguinal (and heart) vs brachial vein
"Acute congestive plethora of the head"
Neuro's evaluations needed
Trial compromise
Page 74
CCSVI Literature for docs scarce
Stents removed?!?!?!
Neuro interviewing before & after Lib Pro
Ethical trial? How?
EDSS 8.5++
Page 75
It's more of a safety study…
Brain trauma and angio safe?
"No treatment" is the Control
Venography detection rates higher
more Trial talk…
Page 76
Pesky Placebo & Unquantifiables
A Rewarding Journey Has Begun
Page 77
Trials - Safety First!
Page 78
Page 79
Page 80
Doc S. - Back after these messages…
Page 81
Patient and Statistic Significance
"ndwannabe" case
Page 82
Receptive colleagues…
Insurance money, Training and Seminars
Patients and Controls
What are we treating?
Scanning is moot - Liberate!
Buffalo Study advice
Membraneous issues seen?
Predicting restenosis
Page 83
Page 84
MSQLI (MS Quality of Life Inventory)
"tzootzi"'s wife
Total MRV (MR arteriogram)
Page 85
Starting with the big veins…
Measuring Cerebral Oxygenation
MS - not one size fits all…
Why study the neck only?
Study response of all symptoms…
Exclude MS family members as controls
Page 86
Why scrutinize studies?
Page 87
Ultrasound protocol question
Specific studies later on…
MRV and Baclofen Pump
Focus on treatment, outcome, learning
Page 88
Diminishing control group?
Online patient assessment
"astro" case question
Page 89
Dr S - (almost) Super-Doc!
Comments on "costumenastional" images
Venogram/Angio Contraindications
Clotting disorder and Venogram/Angio
Comments on Dr. Freedman interview
ED (not what you think!)
Collaterals indicate outflow obstruction
Page 90
Pacemaker and MRV?
How to get on Dr. S' List
Don't give advice to those who don't ask for it…
Diabetes, MRV and contrast
PPMS - too early to know…
Venogram vs MRA
CT Scan - pros and cons
Page 91
Euromedic
Dr. Dake trial question
Following/maintaining patient data
Consistency of follow-up evaluations
Page 92
Page 93
Page 94
"Informed Consent"
Angioplasty trials
Global data collection / Squeekycat questionnaire
Why do we need controls if it seems to work?
Science must prove it
Medical community needs convincing evidence
Experience, experience
MRV not good enogh for Azy, use contrast in MRV
When to start exercising again?
1 vs 100 (Treatment vs Study)
Page 95
Venogram test of choice!
Types of trials needed
Safety first
Studies and Doctor Skill Level
Vein rupture
"vivavie" - difficult Azy vein
IVUS benefits
"Informed Consent" requires more research
Stent size - pros/cons
Page 96
Dr. S. holding back?
Page 97
Volunteers needed for trial consent feedback…
Page 98
no test 100% accurate
Page 99
No improvement in PPMS but hopefully no progression either
Extensive reflux with no blockage?
Why not perform unproven techniques if they seem to work?
Look at CCSVI patients as cohort instead of MS'ers?
Stent migration possibilities
Catheter Venograpy and Irregular Heartbeat
Vein Valves
Doctors treat patients - not groups
Procedure not new, the group application is
Venogram - too much, too little dye
Page 100
Overstretching veins/ drugs to raise, lower BP
CTOS? What is…
Switching docs after procedure
One vein problem leads to another…
Dr. Zamboni advises staying on meds after procedure
Zamboni Letter
Does remission mean the stenosis went away?
Page 101
Why isn't vein dilated when there is elevation in pressure?
Mostly valve problems?
Page 102
Radiation / 3T MRV vs 1.5T MRV / Study length
Irregular heartbeats due to flow probs?
Hand and foot circulation improved by Jugular flow?
Page 103
Any proven association between CCSVI and other venous valve problems?
Page 104
Page 105
Damn A/C! That MRV sucks!
Flap, Web, Septum in veins
More on "Cutting" Balloons…
Vein healing process / Anticoagulation strategy
Page 106
MR Scanners and Metal
MS is the Real Enemy
Balloon and Stent size question
Duplication of Jugular Vein
Doppler, ECU, Mrvenogrm, Cather Venography - What can be seen?
When will Dr. S resume procedures?
Treating narrowed veins based on what?
Page 107
Page 108
Medicine (& Emoticon Use) is an art!
Page 109
Donate blood while on anticoagulants?
Narrowed jugular, CCSVI!
What medical records/reports should I bring?
Coumadin, Heparin / To use anti-coag's or not
Doctors should document MS symptoms and defects found
Page 110
Coumadin
Draining the Brain
"HappyPoet" test report questions
Cutting Balloon and Dural Sinus
Jugular Foramen
Fix blockage, increase vein diameter and flow?
"Patience, my patients!"
Acne and CCSVI?
Page 111
More CTOS…
Vertigo drug increase bloodflow?
Doing CCSVI (research) right…
Page 112
Stent or No Stent…
Things heard in a neuro’s office…
Stent Reluctance
Stent IRB in the future
Page 113
Hurry up and – wait!
Heart Flutters / Cardiac Rhythm
Page 114
Why do the procedure if benefits are unclear? / University providers needed
Can angio cause new stenosis?
Patients know best…
"Cheerleader" husband case
Page 115
Page 116
Page 117
Doc’s away…
Page 118
TIMS’ers making a difference!
Page 119
Page 120
Page 121
Doc coming home…
Page 122
Cutting Balloons
More on Cutting Balloons…
Iron Theory…
Other imaging forms?
Color Doppler Ultrasound
Dr. S job description…
Page 123
Website Plans
FDA role/involvement
IRB Protocols
Europe first…
Biggest thread?
FDA/Stenting/Angioplasty
Page 124
Becoming "Standard of Care"…
Need studies and data…
Always vein narrowing? MRV note
Catheter: Enter left side? Why?
Relapse after Liberation
MRV inaccurate/misleading
Venogram accuracy
Low/High Lesions, "Phasic"
When to use stents & Azygous ballooning
Page 125
Diagnostic Only studies: wastle of money
Cutting Balloon and Bleeding?
Note on procedure cost
Dr. S Future Plans
Page 126
Page 127
Can illness bring back symptoms?
Procedure repetition? / Does MS type predict degree of improvement?
Can Clavicle affect Azygous vein?
Page 128
Ultrasound procedure description
Page 129
Call me crazy…
Ultrasound questions
Flair triggers / illness
Dr. S. Safety Study Description
RPMS classification
Page 130
Page 131
Lumbar veins
Post-procedure outcomes/Lumbar vein
Post-procedure outcome question
Inferior vena cava / Gonadal vein
CCSVI: Worse over time or damage accumulation?
IRB update
State of Imaging Study idea
Page 132
Papers brought up by IRB
Page 133
Hold onto your CD’s!
Page 134
Page 135
Break time…
Page 136
IRB Proposal Denied
Page 137
Page 138
Page 139
Page 140
Page 141
Page 142
What to do? What to do?
Page 143
Page 144
Page 145
Page 146
May-Thurner Syndrome comment
Page 147
Check all Veins?
Resubmit proposal?
Difficulty with "Sham" Operation / Empathy
May-Thurner Disease comment
Don’t send money! (Will work for…BOOZE!)
Experience of doctors for randomized trial
Study while on DMD’s answers what?
(Glad you’re back, Doc!
)Page 148
IRB Proposal Points…
Belmont Commission Report: Protection of Human Research Subjects
BNAC Study and DMD’s
Page 149
50/50 overall improvement
Page 150
Vein measurement / comparison
Legitimate reasons to treat CCSVI itself?
Page 151
Page 152
Comment on Italy and CCSVI
Problem with IRB proposal…
Page 153
Faulty valve, blood flow, pregnancy questions
IRB’s, Treatment clinics…
Catheter is best…
(Reminiscing…)
Liberation for "Fuzzy mentation"?
May Thurner, CCSVI
Doing the Procedure…
Page 154
Page 155
Dural Sinus, IJV Stenosis
Case Reports and Medical Journals…
Testing for CCSVI without MS diagnosis?
Why look at left Iliac and Renal veins?
Comment on news article,,,
Thyroid gland and CCSVI
Vertebral vein problems, Better esponse to second angioplasty?
Page 156
Thyroid? Grave’s Disease?
Cerebral Venous Thrombosis CVT (and MS)
Can I use your images for CCSVI Imaging Atlas?
Page 157
scholar.google.com
Page 158
CCSVI opposition and progress…
How common is venous angioplasty?
Causes of headaches from angioplasty?
Azygous abnormalities
Page 159
What good is this thread? Looking back…
Page 160
Page 161
Can azygous vein suffer if jugulars ae normal?
CCSVI Atlas / where to send images
Thyroid
Canadian doctor contact?
Thyroid (more…)
Thyroid (more…)
Make Money or Help Mankind? Both?
Trauma that can injure veins
Is catheter venography warranted if jugulars appear normal?
MS’er letters to no avail…
Non-MS blockage complications / Budd Chiari Syndrome
Dr. Hubbard comment
Page 162
Procedure now or later? Pros and cons…
"Algis" and Taiwan
Any pre-CCSVI discussions?
It’s a personal decision…
Improvements gone after a week – what now?
Page 163
Some insurance is paying for CCSVI
Aaron Miller
Procedure and stent complications?
Catheter Venogram / MR Venogram / Ultrasound
Veins and chemical trauma
High jugular stenosis repair?
Page 164
"Nunzio" clarifies Mitoxantrone treatment
"Apologize only for ignorance you choose not to correct" – S. Sclafani, 7/2010
Post-procedure anticoagulation
Anticoaglation (Love Thy Doctor!)
Page 165
Will ballooning keep bad valve open after balloon removed?
SUNY symposium (Sclafani, Siskin, Sinan, Haacke, Salvi) July 26
Inverted Valves
What to stop taking prior to procedure?
Abnormal valves
High pressure balloon
More on SUNY Symposium
Page 166
Page 167
Page 168
Page 169
Online CCSVI Atlas?
"LadyGazelle" Doppler image
Dr. Kostecki
IR – To go where no doctor has gone before
Page 170
Contrast and Iodine
Transverse Sinus
Page 171
Venogram one day, procedure the next?
Lumbar and SPMS, PPMS
"Mooshell" small external jug?
Lost defib. Wire causing CCSVI/MS?
Catheter Venography / IVUS
How commonly is IVUS used?
The Headhunter
Doc. S – no sedation, no analgesia
More on IVUS…
Page 172
IVUS benefit outweigh the cost?
Can one treat an occluded inominate vein?
IVUS
Page 173
Thrombosis question
Is IVUS catheter reusable?
Concerns about early CCSVI treatment
Dural sinus occlusions
Page 174
62-90% incidence
If venoplasty isn’t an option, is surgery?
Second opinion – get one!
Interpreting "Johnnybaby’s" report
Page 175
Aftercare/Relapse/Restonosis
Germany CCSVI
Find an IR who does complete Liberation
+/- IJV CSA delta
Page 176
Risk of stroke during Liberation?
Can reflux go away gradually after Liberation?
Page 177
(Holly) Dr S. Waiting List info…
Vein volume formula
Is this "Sticky Blood"?
Dr. Sclafani ASKS some questions…
Jugular vein size and flow rate
Symposium on CCSVI info…
Page 178
DOPPLER DIAGNOSTIC OF CCSVI test prescription/Zamboni criteria
Page 179
Catch re-stenosis early – consider 1 month check-up
Symposium talk…
Spinal cord and CCSVI question
Page 180
Page 181
Insurance and screening
Page 182
How to do follow-up / Azygous question
Fact checking…
"LadyGazelle" case
Page 183
Artery pushing jugular?
Page 184
Page 185
Page 186
Props for Dr. Salvi / Setting up the ISNVD
Page 187
CCSVI vs Cancer
Local follow-up
Cancers around the Azygous paper
Page 188
Letter to Dr. Zamboni
Page 189
China-bound!
Veins inside the brain?
Venogram and Dural Sinuses
Risk vs Benefit, Multiple Procedures
Anals of Neurology Rebuttal
West Coast Symposium?
Page 190
Talking to my Doc / Commonly treated veins (historically)
Dural Sinus, Sigmoid Sinus
Is Diabetes a contraindication to Liberation Procedure?
Vein compression
Page 191
IR’s coming up to speed
IVUS expensive
Treat in multiple visits?
Larger diameter ballooning of Azygous
Symposium Follow-Up questions
"nunzio" MRV comment
Page 192
Multiple visits = Waste, more risk
Dilating Carotid impressions / Vagus nerve / Bradycardia
Lmbar veins / Doctor comfort level / Vein tear? / Trends?
Blood flow and nerve function restoration
Page 193
Compression of Jugular by Carotid Bulb or Strap Muscle
(Symposium video links by "girlgeek33")
Page 194
Low stenosis causes appearance of high stenosis/Dominant flow/Dural sinus thrombosis
More on 2-treatment strategy…
Ascending Lumbar Vein and small veins
Temporary feeling of "Normal"?
PPMS – especially need Azygos and Ascending Lumbar Venography!
Page 195
Page 196
Over-stretching veins?
Ballooning info….
TEE (Transesophageal Echo)
Air in veins?
Page 197
Page 198
Page 199
Page 200
Page 201
Jugular ligation
Page 202
Page 203
"Nunzio" MRV comments - Vertebral veins
Comments on German and Swedish studies
Stenting questions
Anticoagulation
Flared stent?
Balloon Pressure
Normal reflux?
Balloon questions
Page 204
Cutting balloon
German and Swedish study
Page 205
Kissing Balloons
Realistic Expectations
Stent question
Page 206
Relapse question
Page 207
More relapse theory…
Left side entry / May Thurner’s
More May Thurner
IVUS
Nonthrombotic Ilizc Vein Lesion (NIVL)
Renal vein / May Thurner
Cholesterol
IVU$
Page 208
CCSVI ala Zamboni
Do Sinan and Petrov use IVUS?
Talking & exposed jugulars
The Pill, steroids
Problem with jugs and verts
Repeated dilation
Page 209
Page 210
Page 211
Iliac, Renal, Lumbar drainage
Stress, CCSVI, MS
Thrombosis, Stents
Page 212
Should kill 2 birds with 1 stone!
Veins and brain drainage
Endothelial cells and permeability
Why aren’t red blood cells found in spinal fluid?
Accidents and CCSVI
5-40% has not met criteria for CCSVI
My CCSVI 1-year anniversary!
Page 213
Page 214
Developing a standard protocol
Stress, CCSVI, neurological symptoms
Total blockage of azygous
Stenosis, reflux
Page 215
Zamboni protocol question
May-Thurner treatment
Azygous restenosis incidence rate
Venous insufficiency
Are pulse steroids bad before angioplasty?
Page 216
Post-Zamboni IR activity
May-Thurner and symptoms
Antihistamines
Page 217
Can narrow/blocked veins cause high blood pressre?
No improvement. Now what?
Zego machine?
Jugular veins, restenosis
Numb leg after procedure
MRV after chiro adjustment?
Page 218
Page 219
Balloons – avoiding breakage
How high up? / Vertebral veins / High venoplasty / Balloon low may fix high stenosis
China and MS
Page 220
Can hypertension cause narrowed veins?
Valves, stenosis, scar tissue, artherosclerosis
Neck mass and CCSVI, scan interpretations questionable
Page 221
Bruising and venogram / Hypercoagulability
The need for a CCSVI treatment registry
Aspirin and Hypercoagulability
Actin
PPMS prognosis
Neck massage / Angle for Jugular vs Vertebral vein flow?
Nattokinase
Stents-a-many…
Incision technique and scarring
Page 222
Incision technique and scarring
Hypoplastic Jugular
MRV and CCSVI
Trauma
Page 223
Scarring underneath skin from incision
What Sonographers and Angiographers should look at:
Page 224
Page 225
What happens to collateral veins after Liberation?
Page 226
Page 227
Balloon question
Certification of CCSVI Treatment Centers
Azygos Vein question
A May Thurner? Image
Notes from Belfast Discussion/Debate
THANKS DRBART!
Page 228
Disease duration and burden predict outcome?
Missing Azygos
Page 229
Page 230
Page 231
MS and CCSVI
Ultrasound vs MRV to screen
Be part of a study – not necessarily a randomized trial
Vertebral veins
Comment on randomized trials
"B-mode"
Vertebral veins
Blocked Jugular AND Vertebral veins
Separating non-MS symptoms from MS
Page 232
Vertebral, Subclavian, Azygous stuff
Comments on treatment
Would you stent the first time?
CCSVI screening
Stents, Balloons
Vertebral vein valves
Page 233
The need to improve Doppler
Progressive dilation, Cutting balloons
Skewing results, "Metal-mania"
Page 234
2 obstructions = CCSVI
Lumbar Veins
Dissolving stents
Veins – Collapsed vs Stenotic vs Narrowed
I’m here to stay!!!
We do not know whether or not CCSVI causes MS
Symptom correlation to specific vein issues?
CCSVI theory for upper spinal cord lesions
Page 235
CCSVI theory for upper spinal cord lesions
Vein wall injury
Reasons for worsening, then recovering symptoms
Felux types - Is intervention warranted in the absence of reflux?
Does balloon dilation stop blood flow?
Azygous challenges
Ballooning discomfort, flow stoppage
Page 236
Iliac vein / Coumadin and clots / Blood clots after angio
Page 237
Azygous and webs
Radiation and stenosis? Angio can be done how many times?
Vein elasticity
Scarring, Restenosis, "Rotor-rooting"
Valves and catheter advancement
May-Thurner
Page 238
Shunts
Iliac vein, swelling
Treating one vein, checking the other for improvement?
Stenosis location and disability / Jugular vein has been dx’ed as a Vertegral!
Detecting restenosis quickly with Ultrasound
Page 239
Safety first – the randomized trials…
Stent concerns / N-Acetyl Cysteine
N-Acetyl Cysteine
Neck brace? / Stent issues
Page 240
Trying to set up shop…
Heated balloons?
Page 241
Vit K vegetables. Clotting, Coumadin (Warfarin) dose, diet
Proving CCSVI will take time!
Contrast media risk and Saline
Traveling / Hypoxia and clotting
Finding Nemos (Neuros)
Drinking fluids and Contrast Nephropathy
Laser for clots?
Page 242
Page 243
Sore jugulars, follow-up with Duplex US B-Mode
Stopping Atrophy?
Reflux – 2 kinds
Beirut study
Thyroid cysts and collaterals
"Comparative intent to treat study"
Dilated blood vessels and blood pressure
CCSVI likely congenital
Page 244
Blood thinner – Antiplatelet and Anticoaglation therapy / Follow-ups
Page 245
Web formation
Future treatment plan for ballooning
Vein size diameters – IJV/azygous/hemi-azygous/vertebral/lumbar/left iliac/IVC
Sedation and increased tolerance to meds / Stenosis correlation to which side
Trauma and azygous damage?
Page 246
Azygous web
Valsalva, reflux
Page 247
Vasalva, bulging neck veins
38% reduction of NEW lesions is normal?
Advice for people who don’t see improvement
Page 248
CCSVI and Zamboni criteria
4 CCSVI Pattern Types (see Squeakycat post)
Page 249
Endothelin-1
Azygous, Doppler, hemodynamic
Thyroid gland disorders
Stents and thrombosis, better angioplasty
Terminology – proximal, distal
Comment on external jugulars
Page 250
Getting Color Doppler Ultrasound done
B-mode vs Doppler Ultrasound, Duplex Ultrasound
The Interventional Radiologist
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