Where you're talking about TCP, then the only state aware devices in the path are usually stateful firewalls close to the beginning and end of the path. I can't

Where you're talking about TCP, then the only state aware devices in the path are usually stateful firewalls close to the beginning and end of the path. I can't see this causing major issues as firewalls don't usually act on options unless specifically configured, seeing that they don't change the fundamentals of TCP flow (ie. flags, seqs and acks). The option but are usually just flags for signalling between the two endpoints.