What instrument do you use for the fenestration? The concept of fenestration has come up in CCSVI discussion because some patients have jugular duplication. The second lumen swells with flow and compresses the first lumen, creating an outflow obstruction. One possibility of how to treat this would be to fenestrate. If you have experience with fenestration in the aorta, what would be the extra challenges with attempting fenestration in a jugular? Is there an instrument that is the right size?DrSnyder wrote:We use IVUS in our practice mostly to get a look at renal arteries before stenting or to know where to punch holes (fenestrate) an aortic dissection to allow flow back into the true lumen
An excellent use for IVUS....I will begin using it on any MS patients that we treat to document cross sectional area before and after treatment.
I recognise this as that passion that Dr. Sclafani was saying Dr. Zivadinov and Montel have, that Dr. Sclafani himself has, and that CCSVI tends to inspire in people, at least around here. In in IN! When you know how bad MS is, any chance of improvement or cessation of progression is amazing.Essentially, MS has danced in and around everyone I know and love. There by the grace of god go I. If I can do anything to help move this treatment forward, I am in in IN!
I am beginning to think IRs, as a group, are unusually witty. This made me laugh. ;)And again, I DO apologize for the picture. I knew I should have ordered wallet size instead of portrait size. I Will figure out how to get that fixed.