@borko2100 - the discussion about putting a stent in an IJV has come up a number of times & @vdm has given you a good & accurate list of possible complications from having that done especially before having the cause of the IJV compression removed. When the bone, nerve, muscle, scar tissue or whatever is causing the compression remains in place, it can, as vdm noted, squash the stent which then nearly completely blocks the blood flow through the IJV, & since stents aren’t typically removable, that is a big problem.
I don’t know of any surgeons who do the type of vein bypass you’re talking about, & I feel a bypass such as you suggested might be more dangerous to undertake than a styloidectomy & C-1 shave especially if those are done by a surgeon who has experience doing them. I will say that your idea is pretty novel.
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Yea, in my view one of the biggest problems with stents is that they are not removable. If the stent introduces new symptoms then you are stuck with them forever, not to mention the chance of migration, restenosis etc. which could make the situation worse than it was to begin with.
I think a safer option to try is ballooning of the vein, from what I’ve read, the chances of permanent relief are low, but since on the left side at least the compression is not severe (if any) maybe there is a small possibility of lasting expansion of the vein.
Apparently there is such a thing as a biodegradable stent that dissolves itself over time, in theory such a stent could eliminate / mitigate most of the issues with a regular stent. Unfortunately I can’t find any information of this kind of stent used in the jugulars, the few studies I found were in the heart. Maybe the technology is not advanced enough yet or those stents are not suited for being placed in IJV’s?
Yea the IJV bypass is a long shot and after reading more about it, it is a more complex surgery than it looks at first glance, seems like it is reserved only for very severe cases.
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