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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 small saphenous vein may become varicose. [4] In 20% of cases, this is associated with chronic venous insufficiency . [ 5 ] Vein stripping is an effective treatment.
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.
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It has been developed to guide decision-making in chronic venous insufficiency evaluation and treatment. [6] The CEAP classification for CVI is as follows: [citation needed] Clinical C0: no obvious feature of venous disease; C1: the presence of reticular or spider veins; C2: Obvious varicose veins; C3: Presence of edema but no skin changes
Prepared salsa verde adds tang to this fast weeknight chili recipe and pairs beautifully with the rich caramelized chicken and creamy beans. Don't shy away from the poblano peppers.
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