MS_mama wrote:Dr. S, could you elaborate or perhaps list some of the non-MS related possible complications of untreated venous blockages? And are these complications things that are documented in the literature (and therefore accepted by all IRs) or rather more complications that you personally have seen from you experience--in which case perhaps there will be differences of opinion between doctors on the issue.
Thanks in advance, and can't wait to see the dr S/Wheelchair Kamikaze collaborative work!
The most significant complication of non-MS blockages of the IJV is loss of access for venous drainage for dialysis. Such patients are really in trouble. Occlusions of these veins, and the femorals, and other veins, prevents these patients with kidney failure from using simple veins to get hemodialysis, necessary for their survival.
This week I treated several patients who had "used up" all their veins for dialysis access. they literally have roads going no where and unless we can get something into a vein big enough for the flow necessary for dialysis, they will die
Another real problem is superior vena caval syndrome usually caused by tumors that compress the veins draining the head, face and neck. They can develop a head resumbling a tomato, beefy read, swollen tongue, puffy face. They are confused, sometime poorly responsive. Horrible. The treatments include radiation and stenting of the obstructed veins
Another; Budd Chiari syndrome in which the veins exiting the liver are obstructed. This leads to liver failure, and varicose veins that can cause intesting hemorrhage
you are not alone