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Not sure where you are in the process but when I got the call back from Dr. Siskin, it was on a Saturday morning.Vivianne766 wrote: Do they call on the weekends too ?
When did you first call, Vivianne?Vivianne766 wrote:OMG !
That is good so people might get calls. Someone had a call today !!!!!
Yay !!!!!!!!!
I am sooooo ready to be liberated.
tnx cece.
oh and I am waithing for my 2nd call.
.... still waiting. lol.
Can someone please explain the rational starting from the left groin vs the right? Thank you.Cece wrote:Yes. When bmk had his treatment (two weeks ago?) Dr. Siskin did from the right, but as of one week ago, Dr. Siskin is now a left-side guy.
Trish317 wrote:When did you first call, Vivianne?Vivianne766 wrote:OMG !
That is good so people might get calls. Someone had a call today !!!!!
Yay !!!!!!!!!
I am sooooo ready to be liberated.
tnx cece.
oh and I am waithing for my 2nd call.
.... still waiting. lol.
Yes please. I want to know as well.Athena wrote:Can someone please explain the rational starting from the left groin vs the right? Thank you.Cece wrote:Yes. When bmk had his treatment (two weeks ago?) Dr. Siskin did from the right, but as of one week ago, Dr. Siskin is now a left-side guy.
Athena
Here is Dr. Sclafani's explanation....Athena wrote:Can someone please explain the rational starting from the left groin vs the right? Thank you.Cece wrote:Yes. When bmk had his treatment (two weeks ago?) Dr. Siskin did from the right, but as of one week ago, Dr. Siskin is now a left-side guy.
Athena
drsclafani wrote:When I read zamboni's paper, I noted that he stated that roberto galleoti, the IR who works in ferrara, enters the left femoral vein and advances up into the azygous and the jugulars. I thought that peculiar because it is such a straighter shot up the right femoral into the jugulars and azygous. In my entire career I have entered the right side in more than 98% of procedures. (For your information catheter manipulation is always more accurate in a straight line. when the catheter has to curve, it loses some of the fine tuning.)i will discuss this more later when i give my zamboni report, but not all ccsvi is picked up via azygous and jugular venography. I was caught by surprise on that one! but you will have to wait for an explanation of some of the negative venograms!
The paper never really explained why robbie did that. So as i watched that first procedure in ferrara, i noted that they did a venogram of the left iliac vein and then catheterized the left ascending lumbar vein and did another venogram. I aske paolo what that was all about and he told me that they were looking for narrowing of the left iliac vein (a congenital narrowing called May thurner syndrome) and then were looking for hypoplasia of the lumbar veins. They also looked for narrowing of the vein of the left kidney. The light went off! That was why they entered from the left side.
Paolo, why didnt you say so in your paper, I asked. Because the editors cut it out for space reasons!
So now i will do all my catheterization from the left femoral approach, even though I dont like to.
How can evaluating the lumbar veins be helpful? it is helpful in explaining the disease. at the current time, there is no solution to the lumbar vein narrowings (hypoplasia). But it can explain the disease. It appears that lumbar hypoplasia is associated with PPMS.
The mechanism is that narrowing of the renal vein and the iliac vein reduce the ways for the blood to exit the spine. in fact they may actually increase that flow. And perhaps that leads to ccsvi of the spine.
So i think that some of those who have had venograms that appear normal just havent had all the right imaging done.
Not to say that all the venograms I have seen done around the worlds would be something leonardo would have been proud of.