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The leg is bandaged and/or placed in a stocking that the patient wears for up to three weeks afterwards. Foam sclerotherapy or ambulatory phlebectomy is often performed at the time of the procedure or within the first 1–2 weeks to treat branch varicose veins. However, some physicians do not perform these procedures at the time of the ELT ...
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.
[nb 3] [23] A shunting of blood from the thigh veins back into the lower-leg veins produces a reflux situation. The veins most often found to be incompetent are the saphenous veins and the perforators communicating with the deep veins of the thigh. [24]
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.
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Chronic venous insufficiency (CVI) is a medical condition in which blood pools in the veins, straining the walls of the vein. [1] The most common cause of CVI is superficial venous reflux, which is a treatable condition. [2]
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