Several methods have been implemented for more than a century, after the removal of invasive saphenous less invasive procedures like surgery and phlectomy Gandzha.
CHIVA
CHIVA is an acronym for a scientific paper “conservative Himodynamique that lack Veineuse IT Ambulatoire, which was published in France in 1988. CHIVA hemodynamic deterioration based on the data and weigh the evidence, it is evident from the dynamic venous ultrasound. In this new concept of clinical symptoms of venous deficiency is notonly because of various violations of venous system.
For example, venous congestion may be extended, not only for film and block venous incompetence or arterio - venous fistulae
and the treatment must be conducted in accordance with the specific characteristics of hemodynamics. This usually consists of 1 to 4. Small parts of the initiation of local anesthetics with the abnormal flow of varicose veins due to inability to slide extension. Patients will not be granted the same day. This method of improving venous function:
For treatment of symptoms of venous insufficiency is varicose veins, ulcers and swelling of the legs.
Non-recurrence of varicose veins in conjunction with the gradual enlargement of collateral in order to overcome and replace destroyed grain: against the passage of gandzha: distribution of the rain increased from 2 to 5. 10 years.
Keep the surface of the veins of the city are unpredictable, but the potential needs in the coronary circulation in the leg or a life that increases with aging.
Lurie is an analysis of CHIVA said that “certainly CHIVA belongs to the category of research, and should remain so until such time as sufficient evidence of its validity has been established.” Unfortunately, at this stage, the best results CHIVA edition, which corresponds to the current study of methodological rules Carandini and others. The authors believe that only 25-38% of patients with varicose veins can be treated CHIVA. This study showed that there has been a recurrent varicose veins in 17% of treated CHIVA, despite the fact that some patients CHIVA drug screening.
Stripping
This “stripping” to remove all or part of the main trunk at the saphenous vein. Complications include deep vein thrombosis, pulmonary embolism, and wound complications, including infection. The traditional surgery, reported recurrence rates of the monitor 9 years, range 6-59%. In addition, after removal to remove the main saphenous trunks, they are not available for venous bypass in the future (P important artery disease and / or coronary artery disease)