DrSclafani answers some questions

[msjen]

I am having some trouble understanding some of this...
Is it possible to only have reflux? It seems as though the valves are responsible for this and if not properly addressed could cause an unsuccessful procedure? Any thoughts?

[Donnchadh]

Dr. Sclafani:

You previously posted some images of what a stenosis actually looks like (from a cadaver). However these images are no longer available. Would you please re-post them as I wish to have something to show others?

Thanks!

Donnchadh

[drsclafani]

I am having some trouble understanding some of this...
Is it possible to only have reflux? It seems as though the valves are responsible for this and if not properly addressed could cause an unsuccessful procedure? Any thoughts?

IT IS ACTUALLY SIMPLE

REFLUX is a manifestation of ccsvi
VALVULAR OBSTRUCTION, the most common form of obstruction, is a cause of ccsvi

[drsclafani]

Dr. Sclafani:

You previously posted some images of what a stenosis actually looks like (from a cadaver). However these images are no longer available. Would you please re-post them as I wish to have something to show others?

Thanks!

Donnchadh

why are they no longer available. i didnt remove them. perhaps the owner did

[Donnchadh]

Dr. Sclafani:

You previously posted some images of what a stenosis actually looks like (from a cadaver). However these images are no longer available. Would you please re-post them as I wish to have something to show others?

Thanks!

Donnchadh

why are they no longer available. i didnt remove them. perhaps the owner did

On page 260, where the images used to be, there is now a white square.
Inside it, "This photo is currently unavailable" and "FLICKR."

Any other stenoisis images available?

Donnchadh

[Cece]

Dr. Sclafani:

You previously posted some images of what a stenosis actually looks like (from a cadaver). However these images are no longer available. Would you please re-post them as I wish to have something to show others?

Thanks!

Donnchadh

why are they no longer available. i didnt remove them. perhaps the owner did

If the cadaver removed the images, we have even bigger problems!!

Do not worry, I have watched The Walking Dead, I know what to do.

The missing images have been a concern for a month now, I've gotten pm's asking if I know why they are gone. It is more than just the ones donnchadh mentioned. Hope they can be found, this thread is quite a resource.

[hwebb]

If I see a useful picture in this thread...I literally take a screenshot and store it myself. Am scared the image will disappear from the thread.

[drsclafani]

billie and john
bizzy
allyalex
hwebb
nunzio
brad k
bestadmom
nigel
civickiller
fogdweller
captboo
hannakat
donnchadh
kitttydoctor
sqeakycat
algis
needled
kathryn333
1eye
ppicklee
witchita
cd
zeureka
hopeful2
garryak
badcopy
bluesky63
almostclever
burg
daniel
trish317
pcakes
lovebug
newlywed4ever
cece

thank you all so much

i have received a few awards and a few accolades in my life. Your gift today was humbling, exciting, touching and unforgettable.

i cannot wait to share with my loved ones


sal

[brave]

Hello Dr Sclafani
I had my CCSVI procedure done at Albany on 11/24/10

looking at my ultrasound result (before procedure), I see that I met criteria #1 and result was negative for other 4 tests

criteria #1: Gray-Scale abnormalities of the proximal internal jugular veins. This is positive when valve
abnormalities, flaps or membranes are identified within the lumen of the internal jugular vein

Finding: positive on the right , positive on the left


and looking at ultrasound result (after procedure), I see that result for criteria #1 is negative but strangely criteria #4 changed to positive after my procedure

criteria #4: Reflux in the internal jugular and/or vertebral veins in the spine (0 degrees) and upright (90 degrees)position. This is positive when flow reversal is identified in both positions on Doppler imaging for > 1.5 seconds

findings: Negative on the right and positive on the left side with 504 ms degree of reflux
in the distal left internal jugular vein

I would like to ask you, what could be the reason that criteria #4 changed to positive after CCSVI procedure?

also my left foot has swollen badly since 12/25 (ultrasound hasn't shown any blood clot) , could this swallow being developed as result of issue mentioned in criteria #4

and last not the least
Do you see me a candidate for second CCSVI procedure with you(need to mention that so far I haven't had noticable improvement after my CCSVI on 11/24

Thanks in advance,
brave

[NZer1]

Hi Dr. a couple of questions have been rolling around.
I have noticed some IR's use the term lesions in the veins, this to me seems odd as though there is some sort of cross over in terminology regarding MRI lesions and valve malformations, are you able to shed any light on this?
The second thing is that I am wondering if some of the less experienced or less read IR's are aware of what the restrictions in veins are in some cases. It is the way that they have treated the restriction, as thought it is simply a compression of a vein rather than a valve issue such as reversal. The need for treating re-stenosis is the reason for my pondering.
Hope you have a successful day with ecstatic patients.
Regards Nigel

[elliberato]

Dr S,
i applaud your dedication and am excited to see the findings you will provoke through your procedures. Could you be so kind to share some of them.? Have you seen some major improvements thus far? Anyone walking tha wasnt or spasm relief or heat intolerance relief or the like?
thanks in advanc

[Liberation]

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[sara-sama]

Dr. Sclafani:

You previously posted some images of what a stenosis actually looks like (from a cadaver). However these images are no longer available. Would you please re-post them as I wish to have something to show others?

Thanks!

Donnchadh

[sara-sama]

Dr. Sclafani:

You previously posted some images of what a stenosis actually looks like (from a cadaver). However these images are no longer available. Would you please re-post them as I wish to have something to show others?

Thanks!

Donnchadh

http://www.freeimagehosting.net/uploads/ff6d207b47.jpg

[girlgeek33]

i have not treated any siblings at this point. I am working up a mother daughter pair and have treated the mother. I doubt that they will have mirror image findings because they are so different in age. Their clinical presentations are also different.

but we will see.

I'm still looking to have my daughter's veins looked at. Haven't discussed in some time, so to refresh, she has been going through a dx process and to date still undx. Her symptoms are very similar to MS, yet spine & brain MRI do not warrant an MS dx. She is following the trail her docs are leading her on, and the latest is a gastro doc that doesn't think she has anything wrong, that it is in her head. Sound familiar MSers? She is only 21. I don't know what my brain scans would have looked like back at that age, but I can trace my symptoms back to about 20. Knowing what we do about CCSVI, I wonder if this is the early signs of CCSVI on her cerebral vascular system. But, because she is not already dx with MS, nobody will even do a doppler. This has been undx since she was 14, with worsening at about age 20 to bring us back to the doctors. As a mother, I want to avoid her ever getting MS. I realize we are at the early stages of CCSVI understanding. At what point will anyone look at veins of a patient like my daughter? Time is brain after all...