BACKGROUND Hemodynamic correction (CHIVA) is a conservative, ambulatory, and controversial varicose vein treatment. It consists of selected ligatures of the superficial venous system, decided by means of preoperative duplex mapping. OBJECTIVE Prospective evaluation of 80 patients, operated on according to the CHIVA technique described by Claude Franceschi. Menu follow‐up length was 30 months. METHODS Fifty‐five consecutive patients were operated on after clinical, ultrasonographic, ambulatory venous pressure and light reflection rheography evaluations. After a 3‐year follow‐up, another 25 consecutive patients were selected applying some exclusion criteria that emerged in the first part of the study. This second series was operated on by means of intraoperative angioscopy. The same preoperative evaluations have been used to study the outcome in all patients. RESULTS CHIVA failed in the short saphenous vein territory varices and when the long saphenous vein and the insufficient perforati...
When CHIVA Treatment Could Be Video Guided
ZAMBONI, Paolo;FEO, Carlo;VASQUEZ, Giorgio;PANSINI, Giancarlo
1995
Abstract
BACKGROUND Hemodynamic correction (CHIVA) is a conservative, ambulatory, and controversial varicose vein treatment. It consists of selected ligatures of the superficial venous system, decided by means of preoperative duplex mapping. OBJECTIVE Prospective evaluation of 80 patients, operated on according to the CHIVA technique described by Claude Franceschi. Menu follow‐up length was 30 months. METHODS Fifty‐five consecutive patients were operated on after clinical, ultrasonographic, ambulatory venous pressure and light reflection rheography evaluations. After a 3‐year follow‐up, another 25 consecutive patients were selected applying some exclusion criteria that emerged in the first part of the study. This second series was operated on by means of intraoperative angioscopy. The same preoperative evaluations have been used to study the outcome in all patients. RESULTS CHIVA failed in the short saphenous vein territory varices and when the long saphenous vein and the insufficient perforati...I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
