Dr. S. - thanks for your reply regarding BNAC testing... I think I'll save the cash to stay at the Marriott at Brooklyn ...
I'm sure by now they have perfected the imaging techniques, but the cash, plus the chance of a false negative are my main deterrants..
I think you may be right about the funding.. If they would let me know the difference I'd gladly donate it to the research..
Squeakycat wrote:Dr. S,
Rather than a choice of descriptions, do you think this one covers it:
CCSVI treatment is:
PERCUTANEOUS VENOPLASTY,
A MINIMALLY INVASIVE PROCEDURE PERFORMED UNDER LOCAL ANESTHESIA
Again, I think words matter, but it is very important that we use the right ones to maintain accuracy as well as a favorable spin.
Perfect... although I had to look up percutaneous (through the skin)..
We should all be familiar with subcutaneous injections - under the skin (copaxone, rebif), Intramuscular IM injections - into the muscle (avonex, betaseron?) and Infusion or Intravenous IV - within a vein (Tysabri, Solu-Medrol)
I think since we do the above on a regular basis, we can easily handle PERCUTANEOUS VENOPLASTY
If you want the average person to feel sorry for you tell them you're having PERCUTANEOUS VENOPLASTY and leave off the disclaimer...
Wikipedia... percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel).
The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access to a blood vessel, followed by the introduction of a wire through the lumen (pathway) of the needle. It is over this wire that other catheters can be placed into the blood vessel. This technique is known as the modified Seldinger technique.
More generally, "percutaneous" can mean 'through the skin'. An example would be percutaneous drug absorption from topical medications. More often, percutaneous is typically used in reference to placement of medical devices using a needle stick approach.
In general, percutaneous refers to the access modality of a medical procedure, whereby a medical device is introduced into a patient's blood vessel via a needle stick. This is commonly known as the "Seldinger Technique" Seldinger technique named after Dr. Sven Ivar Seldinger. The technique involves placing a needle through the skin and into a blood vessel, such as an artery or vein, until bleedback is achieved. This is followed by introduction of a flexible "introducer guide wire" to define the pathway through the skin and into the passageway or "lumen" of the blood vessel. The needle is then exchanged for an "introducer sheath" which is a small tube that is advanced over the introducer guide wire and into the blood vessel. The introducer guide wire is removed, and exchanged for a catheter or other medical device to be used to delivering medication or implatation of a medical implant uch as a filter or a stent into the blood vessel.
The benefit of a percutaneous access is in the ease of introducing devices into the patient without the use of large cut downs, which can be painful and in some cases can bleed out or become infected. A percutaneous access requires only a very small hole thorugh the skin, which seals easily, and heals very quickly compared to a surgical cut down.
Percutaneous access and procedures almost exclusively refer to catheter procedures such as PTA ballooning, stent delivery, filter delivery, cardiac ablation, and peripheral or neurovascular catheter procedures
