CHIVA for Dummies: Rethinking Varicose Vein Treatment

In “CHIVA for dummies,” author Stefano Ricci revisits the Conservative Hemodynamic Cure of Varicose Veins (CHIVA) method, a treatment strategy for varicose veins that emphasizes preserving the Great Saphenous Vein (GSV). The article, published in Phlebology, highlights the potential of CHIVA as an alternative to traditional ablation treatments for varicose veins.

The CHIVA method, introduced by Franceschi in 1988, involves strategically limited vein interruptions. Initially, its adoption was hindered by the need for advanced Duplex ultrasound expertise. However, Ricci suggests that basic ultrasound skills are sufficient for GSV conservation, focusing mainly on assessing junction competence and locating re-entry perforators.

The article concludes that a combination of limited phlebectomy and possible junction interruption (crossotomy) could be a simplified yet effective approach to saphenous conservative treatment. This method aligns with the growing interest in less invasive treatments and underscores the importance of preserving venous capital for future arterial substitution and reducing recurrence rates.

Original Source: Ricci, S. (2024). CHIVA for dummies. Phlebology. Sage Journals