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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).
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.
Sclerotherapy Treatment of Varicose and Telangiectatic Leg Veins: Sixth Edition, Elsevier (2017). ISBN 978-0323377263; 4th ed., (2007). ASIN B008ITU0KK; Cellulite: Pathophysiology and Treatment, 2nd Edition New York (2010). ISBN 978-1439802717; Photodynamic Therapy, Second Edition, Saunders, Elsevier (2008). ISBN 978-1416054887
The ASV which is often responsible for varicose veins, can be located at the 'alignment sign', where it is seen to align with the femoral vessels. On ultrasound at the saphenofemoral junction in the groin, the common femoral vein (CFV) with the GSV and the common femoral artery (CFA) create an image called the Mickey Mouse sign.
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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