In order to determine if you are a good candidate for the TVAM procedure, Dr. Michael Arata will review your medical history during which the specifics of your medical condition will be discussed. This evaluation functions to ensure patient safety and to identify those patients who are the best candidates for treatment.

These are the veins that are evaluated during  TVAM.

It is common to make a diagnosis of Dysautonomia, with patients also diagnosed with Multiple Sclerosis, and certain other neurological degenerative diseases including Lyme Disease, Amyotrophic Lateral Sclerosis (ALS), Fibromyalgia, and Chronic Fatigue Syndrome. Patients diagnosed with Autonomic Dysfunction associated with these diseases often benefit from the TVAM procedure.

Once a patient arrives at our facility, we perform a comprehensive diagnostic workup to determine if autonomic dysfunction is present. We use the most advanced diagnostic technology in order to evaluate patients as thoroughly as possible.

Intravascular Ultrasound

Intravascular Ultrasound (IVUS) is used in the evaluation of every patient. It provides the most detailed images of the veins. The combination of IVUS and venography dramatically increases the precision of the diagnostic evaluation when compared to using venography alone.

Catheter Venography

A venogram is an X-ray test that takes pictures of blood flow through the veins in a certain area of the body. During a venogram, a special dye (contrast material) is put into your veins so they can be seen clearly on an X-ray picture. A venogram looks at the condition of your veins. It also allows evaluation of flow.

Autonomic Nervous System Testing

Patients are tested for autonomic dysfunction with HRV and Sudomotor examinations.

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