To start, jugulars are stented quite often for those on dialysis. As time goes on, the veins become stenotic and must be repaired or the patient will die. This has been a common practice for at least 10 years. The lower jugulars have been stented, but not higher up in the cranium. It is routine and necessary.
This is true. Any person can read pubmed and see this is true.
The higher location is not routine, but jugular stents in general are common.
Everyone who has had a relative with cancer or something where the patient had an IV going directly into their chest has seen a person who may need a stent in that vein to keep it functional because that type of IV can damage the vein. Yes, placed in a vein and yes that close to the heart. And this is enough of a problem that they have a cage type vena cava filter to catch clots or stents before they get into the heart if you need it in a particular person. As terrible as it is, it is not an unheard of complication.
There are even a papers on people stented in the next vein HIGHER than the jugulars for thrombosis the transverse sinus. These were acute situations like thrombosis of the sinus or increased intracranial pressure but these treatments appear to usually be successful.
I could go on.... and on.
So jugular stenting low down is routine, and stents higher than the jugular in the transverse sinus are well documented in the literature with apparently good results.
Do you really think trials are needed to place a stent in between these areas? Remember that carotid endarterectomy and stents can be done in this area as well and that is common- The carotid and jugs are in the same sheath with the accessory nerve.
Based on best ad's comment, it seems perhaps that the notion that placing a stent in this location while not common is not particularly terrifying to interventional radiologists.
Best ad did the radiologist seem nervous about the idea at all as he spoke with you? Did he caution you to not do it or anything like that?
I'm not offering medical advice, I am just a patient too! Talk to your doctor about what is best for you...
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