i see the problem that many people are looking at the hemiazygous to renal vein connection as a way to decompress the obstructed azygous vein.NZer1 wrote:Comment Mike Arata put on FB; https://www.facebook.com/Dr.Arata
Mike Arata
"Looked at almost 50 renal veins now. Finally an abnormal one. Interestingly enough the flow obstruction is not clinically significant since it is decompressing via a venous loop."
Dr S I have asked Mike if he uses IVIS, it will be interesting to see his reply. When I have asked questions about his findings and if he used IVIS in the past he does not reply for some reason!
Some of the comments Mike makes about 'his' treatment of valves gives the impression that PTA for CCSVI symptoms is different to what you are looking for and treating (and also why) when you are treating people.
Is there a difference? It seems to be splitting the CCSVI movement!
Are people finding that they are going for further treatments (after seeing some treatment providers), because they feel they have not been assessed accurately by some IR's?
Regards Nigel
This is not the issue or the problem. When the renal vein is obstructed, much of its flow goes toward the azygous vein which is then overloaded.
i have had considerable conversation with many of my colleagues about this and pointedly asked DrZamboni if i understand him correctly and he concurs. Of course, neither he nor I are gospel, but i believe in the logic and physiology of what i speak
it will take time to get to consensus about this. I am fortunate enough to have top discuss this at next years ISNVD meeting. Hopefully we can resolve differnces.
And I agree with CECE, it would be best if people stop idealizing any of us treating physicians . We are all intelligent, with differences of opinions that need to be resolved.
