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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).
Radiofrequency ablation is a minimally invasive procedure used in the treatment of varicose veins. It is an alternative to the traditional stripping operation. Under ultrasound guidance, a radiofrequency catheter is inserted into the abnormal vein and the vessel treated with radio-energy, resulting in closure of the involved vein.
This may include an ablation procedure to seal off a vein, which is a common treatment for varicose veins. However, if a healthcare professional deems a procedure for varicose veins medically ...
A combination of lidocaine/prilocaine has been used in radio frequency ablation of varicose veins, [8] and has been suggested as appropriate for cases where a great volume of tumescent anesthesia is required. [9]
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.
Most cases of CVI can be improved with treatments to the superficial venous system or stenting the deep system. Varicose veins, for example, can now be treated by local anesthetic endovenous surgery. Rates of CVI are higher in women than in men. [4] [5] Other risk factors include genetics, smoking, obesity, pregnancy, and prolonged standing. [6]
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Endovenous thermal ablation (EVTA) by radiofrequency or laser is a safe and effective treatment of refluxing great saphenous veins [7] (GSVs) and has replaced traditional high ligation and stripping in official recommendations of various leading Vascular Societies in the United States and the United Kingdom.