The GSV destruction impairs the skin drainage and the capillary pressure increases so forcing and dilating smaller veins up to matting, spider veins and varicose veins. The consrvation of the GSV by hemodynamic means, reduces dramatiacally (paroxically?) the recurrence rate. That's proved by CHIVAvs vs Stripping and Endovenous procedures studies and RCTs and Cochrane review. The adventage of CHIVA is best results, less recurrence and GSV saving for future arterial and coronary by-pass. The obstacle is intellectual ( need ofdeep knowledge of venous hemodynamics ) and no profit for usual congres sponsors because it needs just few local anestetics and suture. GSV preservation is not only a scientific chalenge, but also an ethical. (Some days ago a vasular surgeao who destroys hundreds of GSV asked to be personally treated by CHIVA procedure...) GSV CAN BE PRESERVED and the Varicose veins properly treated with less recurrences A- Conservative methods as CHIVA provide 50% less recurrences than stripping and less complicatons.. 1-Revue CHOCRANE. CHIVA method for the treatment of chronic venous insufficiency.Bellmunt-Montoya S1, Escribano JM, Dilme J, Martinez-Zapata MJ. Cochrane Database Syst Rev. 2015 Jun 29;(6):CD009648. doi: 10.1002/14651858.CD009648.pub3. 2-CHIVA: hemodynamic concept, strategy and results. Claude FRANCESCHI, Massimo CAPPELLI, Stefano ERMINI, Sergio GIANESINI, Erika MENDOZA, Fausto PASSARIELLO, Paolo ZAMBON. International Angiology 2016 February;35(1):8-30 B- Autres études : 1- “CHIVA provides less post operative pian and is more efficient than Laser procedures” . -Retrospective comparison of clinical outcomes between endovenous laser and saphenous vein-sparing surgery for treatment of varicose veins (2011) World Journal of Surgery, 35 (7), pp. 1679-1686 Chan, C.-Y.a , Chen, T.-C.b , Hsieh, Y.-K.a , Huang, J.-H.c 2-« CHIVA provides better outcomes and less complications than stripping and endovenous procedures.That’s why CHIVA should be prefered to other technics. « Hua Wang1, Qianyi Chen1, Zhewei Fei1, Endong Zheng2, Zhanghui Yang2, Xiaowang Huang2 Int J Clin Exp Med 2016;9(2):2465-2471 www.ijcem.com /ISSN:1940-5901/IJCEM0016552 1Department of Vascular Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine Chongming Branch, Chongming 202150, China; 2Department of General Surgery, Cangnan People’s Hospital, Wenzhou 325800, Zhejiang, China. 3-The rate of post endovenous recurrences is equal to stripping, so higher than CHVA.
Excellent article; many thanks for informing us. It's been extremely helpful. Keep sharing, please. If you want to learn more about the reasonable finest treatment, please pick the link. varicose veins specialist in coimbatore
The GSV destruction impairs the skin drainage and the capillary pressure increases so forcing and dilating smaller veins up to matting, spider veins and varicose veins. The consrvation of the GSV by hemodynamic means, reduces dramatiacally (paroxically?) the recurrence rate. That's proved by CHIVAvs vs Stripping and Endovenous procedures studies and RCTs and Cochrane review. The adventage of CHIVA is best results, less recurrence and GSV saving for future arterial and coronary by-pass. The obstacle is intellectual ( need ofdeep knowledge of venous hemodynamics ) and no profit for usual congres sponsors because it needs just few local anestetics and suture.
ResponderEliminarGSV preservation is not only a scientific chalenge, but also an ethical. (Some days ago a vasular surgeao who destroys hundreds of GSV asked to be personally treated by CHIVA procedure...)
GSV CAN BE PRESERVED and the Varicose veins properly treated with less recurrences
A- Conservative methods as CHIVA provide 50% less recurrences than stripping and less complicatons..
1-Revue CHOCRANE. CHIVA method for the treatment of chronic venous insufficiency.Bellmunt-Montoya S1, Escribano JM, Dilme J, Martinez-Zapata MJ. Cochrane Database Syst Rev. 2015 Jun 29;(6):CD009648. doi: 10.1002/14651858.CD009648.pub3.
2-CHIVA: hemodynamic concept, strategy and results. Claude FRANCESCHI, Massimo CAPPELLI, Stefano ERMINI, Sergio GIANESINI, Erika MENDOZA, Fausto PASSARIELLO, Paolo ZAMBON. International Angiology 2016 February;35(1):8-30
B- Autres études :
1- “CHIVA provides less post operative pian and is more efficient than Laser procedures”
. -Retrospective comparison of clinical outcomes between endovenous laser and saphenous vein-sparing surgery for treatment of varicose veins (2011) World Journal of Surgery, 35 (7), pp. 1679-1686 Chan, C.-Y.a , Chen, T.-C.b , Hsieh, Y.-K.a , Huang, J.-H.c
2-« CHIVA provides better outcomes and less complications than stripping and endovenous procedures.That’s why CHIVA should be prefered to other technics. « Hua Wang1, Qianyi Chen1, Zhewei Fei1, Endong Zheng2, Zhanghui Yang2, Xiaowang Huang2 Int J Clin Exp Med 2016;9(2):2465-2471 www.ijcem.com /ISSN:1940-5901/IJCEM0016552
1Department of Vascular Surgery, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine Chongming Branch, Chongming 202150, China; 2Department of General Surgery, Cangnan People’s Hospital, Wenzhou 325800, Zhejiang, China.
3-The rate of post endovenous recurrences is equal to stripping, so higher than CHVA.
Excellent article; many thanks for informing us. It's been extremely helpful. Keep sharing, please. If you want to learn more about the reasonable finest treatment, please pick the link.
ResponderEliminarvaricose veins specialist in coimbatore