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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.
For instance, varicose veins are often treated using minimally invasive endovenous laser treatment performed under local anesthesia. CVI is more prevalent in women than men, and additional risk factors include genetics, smoking, obesity, pregnancy, and prolonged standing. [4] [5] [6]
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
Sclerotherapy has been used in the treatment of spider veins and occasionally varicose veins for over 150 years. Like varicose vein surgery, sclerotherapy techniques have evolved during that time. Modern techniques including ultrasonographic guidance and foam sclerotherapy are the latest developments in this evolution.
Chronic venous insufficiency, varicose veins, traumatic damage to vascular walls, genetics: 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]
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