Case Reports
Vol. 2 No. 1 (2013): Stiffness of Compression Devices - International Compression Club (ICC)...
https://doi.org/10.4081/vl.2013.e21

Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy

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Received: 19 June 2013
Published: 18 September 2013
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chronic venous disease, CHIVA, laser, conservative, hemodynamic.
medicine, phlebology

Authors

Sergio Gianesini
sergiogianesini@hotmail.com
Vascular Disease Center, University of Ferrara, Italy.
Erica Menegatti
Vascular Disease Center, University of Ferrara, Italy.
Michele Zuolo
Vascular Disease Center, University of Ferrara, Italy.
Mirko Tessari
Vascular Disease Center, University of Ferrara, Italy.
Simona Ascanelli
Vascular Disease Center, University of Ferrara, Italy.
Savino Occhionorelli
Vascular Disease Center, University of Ferrara, Italy.
Paolo Zamboni
Vascular Disease Center, University of Ferrara, Italy.
Mini-invasiveness, ease of use and execution speed represent the reasons for endovenous laser ablation success. Nevertheless, the strategic choice remains the ablation of the saphenous trunk. Hemodynamic correction (CHIVA) represents an option, based on a saphenous-sparing therapeutic strategy. We tested the feasibility of a modified CHIVA strategy by means of endovenous lasers (EL) shrinkage of segmental great saphenous vein (GSV) tracts, in networks characterized by sapheno-femoral incompetence and re-entry perforators focused on the GSV. We report the follow up of the first 2 chronic venous disease [C1,2,3sEpAsPr1,2,3, venous clinical severity score (VCSS) 8 and 9 respectively] treated cases. At 1-year follow up both patients were C1,2,3sEpAsPr1,2,3 and the VCSS were 1 and 2 respectively. The non-treated GSV tracts maintained their patency. ELs were herein used within a saphenous-sparing therapeutic plan, thanks to an accurate pre-operative hemodynamic assessment, which allowed the shrinkage of only the first saphenous trunk tract only. Proper technical and hemodynamic considerations are discussed.

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Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy. (2013). Veins and Lymphatics, 2(1), e21. https://doi.org/10.4081/vl.2013.e21
Copyright (c) 2013 Sergio Gianesini, Erica Menegatti, Michele Zuolo, Mirko Tessari, Simona Ascanelli, Savino Occhionorelli, Paolo Zamboni Creative Commons License

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