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Ultrasound-guided mini-incision technique for CHIVA
Felipe Puricelli Faccini1,2, Marcelo Halfen Grill3
1Clínica Pró-Safena, Porto Alegre, RS, Brasil.
Jornal Vascular Brasileiro
|October 18, 2024
Summary
This study introduces a new method for varicose vein surgery (CHIVA) using duplex-guided puncture. This technique aims to reduce dissection and incision, especially for obese patients, while preserving CHIVA principles.
Area of Science:
- Vascular Surgery
- Phlebology
- Minimally Invasive Procedures
Background:
- The CHIVA (Cure Conservatrice et Hemodynamique de l'Insuffisance Veineuse en Ambulatoire) technique is a conservative approach for varicose veins.
- Standard CHIVA may involve extensive dissection for collateral ligation, particularly in obese patients or for thigh veins.
Purpose of the Study:
- To present an innovative modification of the CHIVA technique.
- To reduce the need for extensive dissection and incision during saphenous collateral ligation.
Main Methods:
- Utilized duplex-guided puncture to bring collateral veins closer to the skin.
- Modified the CHIVA technique without altering its core hemodynamic principles.
Main Results:
- The described technique facilitates easier access to collateral veins.
- Reduced dissection and incision size compared to traditional CHIVA methods.
Conclusions:
- This duplex-guided puncture modification offers a less invasive approach to CHIVA surgery.
- Expected to maintain the efficacy of CHIVA while improving patient comfort and reducing surgical trauma, though long-term data are pending.
