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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).
Chronic venous insufficiency, varicose veins, damaged vein walls from trauma, genetic causes: Treatment: Ligation of leaking veins, lifestyle changes: Frequency: Arterial insufficiency: Younger than 45 years old - 12% Older than 45 years old - 19.6% (mild), 5.9% (severe) Venous leakage: 7.84% (of 67 patients) [1]
Endovenous laser treatment treats varicose veins using an optical fiber that is inserted into the vein to be treated, and laser light, normally in the infrared portion of the spectrum, [1] shines into the interior of the vein. This causes the vein to contract, and the optical fiber is slowly withdrawn.
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.
Sclerotherapy is one method for the treatment of spider veins, varicose veins (which are also often treated with surgery, radiofrequency, and laser ablation), and venous malformations. In ultrasound -guided sclerotherapy, ultrasound is used to visualize the underlying vein so the physician can deliver and monitor the injection.
Chronic venous insufficiency. Varicose veins. Lymphedema. Cancer. A recent surgery, especially in the legs. A sedentary lifestyle. DVT can occur at any age, but being over the age of 60 increases ...
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