SciELO - Scientific Electronic Library Online

vol.18Is there concordance between bone and tendon cultures in patients with foot tissue loss?What has changed in venous thromboembolism prophylaxis for hospitalized patients over recent decades: review article author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Jornal Vascular Brasileiro

Print version ISSN 1677-5449On-line version ISSN 1677-7301


FACCINI, Felipe Puricelli; ERMINI, Stefano  and  FRANCESCHI, Claude. CHIVA to treat saphenous vein insufficiency in chronic venous disease: characteristics and results. J. vasc. bras. [online]. 2019, vol.18, e20180099.  Epub Feb 07, 2019. ISSN 1677-5449.

There is considerable debate in the literature with relation to the best method to treat patients with chronic venous disease (CVD). CHIVA is an office-based treatment for varicose veins performed under local anesthesia. The aim of the technique is to lower transmural pressure in the superficial venous system and avoid destruction of veins. Recurrence of varicosities, nerve damage, bruising and suboptimal aesthetic results are common to all treatments for the disease. This paper evaluates and discusses the characteristics and results of the CHIVA technique. We conclude that CHIVA is a viable alternative to common procedures that is associated with less bruising, nerve damage, and recurrence than stripping saphenectomy. The main advantages are preservation of the saphenous vein, local anesthesia, low recurrence rates, low cost, low pain, and no nerve damage. The major disadvantages are the learning curve and the need to train the team in venous hemodynamics.

Keywords : CHIVA; saphenous sparing; local anesthesia; varicose vein; chronic venous disease.

        · abstract in Portuguese     · text in English     · English ( pdf )