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CHIVA method is a type of surgery used to treat varicose veins that occur as a result of long term venous insufficiency. [1] The term is a French acronym for Conservatrice Hémodynamique de l'Insuffisance Veineuse en Ambulatoire (ambulatory conservative hemodynamic treatment venous insufficiency).
The distal veins are removed following the complete ablation of the proximal vein. This treatment is most commonly used for varicose veins off of the great saphenous vein, small saphenous vein, and pudendal veins. [60] Follow-up treatment to smaller branch varicose veins is often needed in the weeks or months after the initial procedure.
Chronic venous insufficiency (CVI) is a medical condition characterized by blood pooling in the veins, leading to increased pressure and strain on the vein walls. [1] The most common cause of CVI is superficial venous reflux, which often results in the formation of varicose veins, a treatable condition. [2]
For example, the superficial venous system (SVS) can be very well examined using a high-frequency probe of 12 MHz. For patients who have thick adipose tissue, a probe of 7.5 MHz will be required. Deep veins require probes of around 6 MHz, while the abdominal vessels are better studied with probes of between 4 and 6 MHz. [9]
The great saphenous vein is exposed and the common femoral and subsartorial veins are identified before dividing. The vein is ligated close to the junction with of the femoral vein. [ 3 ] If the ligation is distal from the saphenofemoral junction , it will leave out small tributaries which may later cause recurrence of varicosities.
Varicose veins and reticular veins are often treated before treating telangiectasia, although treatment of these larger veins in advance of sclerotherapy for telangiectasia may not guarantee better results. [18] [19] [20] Varicose veins can be treated with foam sclerotherapy, endovenous laser treatment, radiofrequency ablation, or open
Arterial and venous disease treatment by angiography, stenting, and non-operative varicose vein treatment sclerotherapy, endovenous laser treatment have largely replaced major surgery in many first world countries. These procedures provide reasonable outcomes that are comparable to surgery with the advantage of short hospital stay (day or ...
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 ...
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