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Jornal Vascular Brasileiro

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


FACCINI, Felipe Puricelli; ARENDT, Ani Loize; PEREIRA, Raphael Quintana  and  OLIVEIRA, Alexandre Roth de. CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report. J. vasc. bras. [online]. 2019, vol.18, e20180077.  Epub Jan 14, 2019. ISSN 1677-5449.

CHIVA (Cure Conservatrice et Hemodynamique de l’Insufficience Veineuse en Ambulatoire) is a type of operation for varicose veins that avoids destroying the saphenous vein and collaterals. We report a case of CHIVA treatment of two saphenous veins to spare these veins. The patient previously had a normal great saphenous vein stripped in error in a wrong-site surgery, while two saphenous veins that did have reflux were not operated. The patient was symptomatic and we performed a CHIVA operation on the left great and right small saphenous veins. The postoperative period was uneventful and both aesthetic and clinical results were satisfactory. This case illustrates that saphenous-sparing procedures can play an important role in treatment of chronic venous insufficiency. Additionally, most safe surgery protocols do not adequately cover varicose veins operations. Routine use of duplex scanning by the surgical team could prevent problems related to the operation site.

Keywords : wrong-site surgery; CHIVA; venous operation; saphenous vein sparing.

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