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[Rational and mini-invasive approach to the therapy in varicose syndrome: the C.H.I.V.A. treatment]
E Triggiani1, D Migaldi, S Filippo
1Facoltà di Medicina e Chirurgia, Catanzaro Università degli Studi di Reggio Calabria.
Insights
The Ambulatory conservative and haemodynamic therapy of venous insufficiency (C.H.I.V.A.) procedure, guided by hemodynamic evaluation, effectively treats lower limb varices. This method demonstrates no recurrence and minimal complications, making it suitable for most patients.
Area of Science:
- Vascular Surgery
- Phlebology
- Hemodynamics
Background:
- Venous insufficiency, particularly lower limb varices, affects a significant portion of the population.
- Traditional treatments may have limitations in terms of recurrence and complications.
- Hemodynamic assessment is crucial for understanding venous pathophysiology.
Purpose of the Study:
- To detail the principles and application of the C.H.I.V.A. procedure.
- To evaluate the correlation between hemodynamic assessment and clinical outcomes in venous insufficiency.
- To report the efficacy and safety of the C.H.I.V.A. procedure.
Main Methods:
- The C.H.I.V.A. (Ambulatory conservative and haemodynamic therapy of venous insufficiency) procedure.
- Detailed hemodynamic evaluation of the venous system.
- Clinical and functional assessment of patients with lower limb varices.
Main Results:
- A strong correlation was observed between careful hemodynamic evaluation and positive clinical/functional results.
- The C.H.I.V.A. procedure resulted in no variceal recurrence in the authors' experience.
- A very low rate of complications was associated with the C.H.I.V.A. procedure.
Conclusions:
- The C.H.I.V.A. procedure, based on hemodynamic principles, is highly effective for treating lower limb varices.
- The procedure offers excellent outcomes with minimal recurrence and complications.
- It is recommended for the majority of patients suffering from lower limb venous insufficiency.
Abstract:
The principles of the C.H.I.V.A. (Ambulatory conservative and haemodynamic therapy of venous insufficiency) procedure are reported. According to the Authors a careful haemodynamic evaluation of the venous system strictly correlates to the clinical and functional results. In their experience, in fact, results showed no variceal recurrence and a very low rate of complications. Therefore, the C.H.I.V.A. procedure is recommended for most of the patients with lower limb varices.