One of my best friend who lives in Europe was diagnosed with MS. Last December he traveled to Bulgaria and went through ballooning(?) whereas his neck vein (I think) was "stretched" if I use the word correctly.
However, he opted out of getting a stent. Initially, in the first couple of months he was a lot better the procedure seemed to work. His speech and balance was better. But now he gradually fell back to the state where he was before.
My question is shall he get a stent to achieve a longer lasting result? Should he wait for the new absorbable stent still under clinical trial or sick to the permanent one? Would be any better if I try to arrange a trip for him to the US and go through another operation here vs. Bulgaria?
Thank you very much for your help in advance.
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i would stick to poland's dr. simka in katowice, or go to warsaw. they know a great deal, and are on top of all of the newest devices, and would advise you of their opinion.
they have done the most procedures, i believe and have all their stats so your friend can make an educated decision when he feels he's ready...if he could wait, it might be better as their equipment seems to improve dailyit seems.
06/05/10 angioplasty RJV-re-stenodsed
26/08/10 stent RJV
28/12/10 follow-up ultrasound intimal hyperplasia
Without knowing the cause of the restenosis, we can't know if a stent is the right solution. Stents increase the risk of complications.
Bulgaria was the first place where people were complaining of pain with the ballooning and it was said at the time that they were more aggressive but that people felt this meant their veins would stay open longer. Now we know that more aggressive might result in more injury.
The resorbable stent that is under trial is too small for use in the jugular veins. So it'd be a matter of waiting for that trial to come through then waiting for them to make it in a larger size...might be a long wait.
Everyone here knows I am a fan of IVUS. This is intravascular ultrasound used to get images of the vein from the inside. Those IRs who use it say they are able to find stenoses that they wouldn't have found without IVUS. The doctors who use IVUS are Dr. Sclafani in Brooklyn, Dr. Cumming in Minneapolis, and Arizona Heart Institute in AZ.
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