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Permanent vein collapse occurs as a consequence of: [citation needed] Repeated injections, especially with blunt needles. Poor injection technique. Injection of substances which irritate the veins; in particular, fluids that are hypertonic (high osmolality), vasoactive, irritants, with an extreme pH (very acidic / alkaline), [3] or liquid methadone intended for oral use.
Vein stripping is a surgical procedure done under general or local anaesthetic to aid in the treatment of varicose veins and other manifestations of chronic venous disease. The vein "stripped" (pulled out from under the skin using minimal incisions) is usually the great saphenous vein. The surgery involves making incisions (usually the groin ...
Blood flows back to the heart in the systemic deep veins, with the flow of blood maintained by one-way valves in the deep veins, superficial veins, and in the perforator veins. [20] The venous valves serve to prevent regurgitation (backflow) due to the low pressure of veins, and the pull of gravity. [1]
Varicose veins and spider veins are quite common as we start to age. In fact, according to the Chicago Vein Institute , "More than 40 million people in the United States suffer from varicose veins."
One study found that with CHIVA, recurrences was 18% rather than 35% with high ligation and stripping after 10 years follow-up. [3] Patient symptoms at 10 years, however, did not differ. [3] The CHIVA and the stripping methods are equivalent regarding recurrence of varicose veins, but the CHIVA method may slightly reduce nerve injury and hematoma.
A study of 516 treated veins over 69 months by Elmore and Lackey reported a success rate of 98.1%. [ 6 ] Endovenous thermal ablation (EVTA) by radiofrequency or laser is a safe and effective treatment of refluxing great saphenous veins [ 7 ] (GSVs) and has replaced traditional high ligation and stripping in official recommendations of various ...
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