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MikeinFlorida If you haven't seen it yet you might want to watch my 3 part Youtube called "From Stenoses to Fatigue and Scleroses". I watched it. Very well done! Thank you for all the effort you put into this. I have always believed that increased static pressure was facilitating extravas...

So is drsclafani officially away on vacation? I may need a DSASQ 12-step program. "Hi, my name is Cece, and...." :) LOL... me too. I sent him some pics of the patient's port implant and removal, but I may have been too late for him to finish the discussion prior to departure. Anyway, I ho...

ttucker wrote:you might want to watch my 3 part Youtube called "From Stenoses to Fatigue and Scleroses".

I look forward to it.

The IVUS measurements under discussion are a potentially direct means of determining any haemodynamic standing pressure waves created by venous obstructions. If such pressure waves can measured by IVUS, then through the application of computational fluid dynamics, the amount of hypertension in the ...

mike do you have the image yet? I made the mistake of requesting the entire packet. They were waiting on chart copies, etc. But they do have the images. I'm leaving to pick them up now. If ok, I'll email them to you, and you post the salient images. My wife also put your name on the "authoriza...

Last November, I ran across a pdf of a PowerPoint presentation that discussed stenting the superficial femoral artery (SFA). The presentation discussed the risk of stent fracture. The images are not pretty. Essentially, this doctor found that the longer the stent, the greater the risk of fracture. ...

drsclafani wrote:

MikeInFlorida wrote: I'll request the x-rays on Monday, and I'll post them as soon as I get them.

that will be very revealing.

Medical records department says it will be at least two days.

Hi Dr. Sclafani, What is the thickness of the image slice in the IVUS cross sectional images that you post? I'm curious how much depth there is to the image. Thanks, NHE good question. i must admit i do not know the answer to it. i will explore S What does the "thickness of the image slice&quo...

If you believe that the aorta and the superior mesenteric artery are really compressing the renal vein in the nutcracker syndrome (which i do), then one would realize that the renal stent would be held in place by those two structures. Moreover, the length of the left renal vein, crossing from left...

drsclafani wrote:Mike
if you notice the quotation marks, they are there for a reason. I was intending to have poetic understatement.

I think I knew that, so I don't know why I posted what I did. I apologize for that part of the post.

Allow me to clarify this. The site of the port is NOT the site of puncture into the vein. the puncture into the subclavian vein is going to be more central toward the right than the port. The port is placed in a convenient space not necessarily at the site of the puncture. We can only speculate unt...

In the gurley case reports on IJV and dural sinus thrombosis, an innominate stenosis was detected in one case (does figure 11 in the paper look familiar? http://www.florida-pneumatic.com/download/Hold/Mikes/Gurley_L_Compare.jpg I photoshopped a quick side-by-side for ease of comparing (Gurley case ...

Mike, does your wife show signs of thyroid dysfunction? Hyper or Hypo? She does have hypothyroidism, and takes 50 mcg of generic Synthroid each day. She is scheduled to see an endocrinologist next week. Do you know why the port has not been removed (sorry if I missed this)? The port was removed 16 ...

These effects give the appearance that the catheter is outside of the vein even though it is not.NHE For the record, I never thought the catherter was outside. My point was that the lumen is larger than it appears. It would be great if the catheter had deployable (and retractable) "spacers&quo...

Mike, did your wife's left arm ever swell before the venoplasty? If not, maybe collateral veins weren't needed; i.e., blood flow was slow but adequate enough for the body not to create collaterals. Thx. Hi HappyPoet, we/she never noticed swelling in her arm. Apparently, that was the one negative sh...