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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).
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 This causes the vein to contract, and the optical fiber is slowly withdrawn.
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
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.
Both Debout and Cassaignaic reported success in treating varicose veins by injecting perchlorate of iron in 1853. [8] Desgranges in 1854 cured 16 cases of varicose veins by injecting iodine and tannin into the veins. [7] This was approximately 12 years after the probable advent of great saphenous vein stripping in 1844 by Madelung. [8]
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