Book Saphenous Preservation – CHIVA, ASVAL, Sclerotherapy
We published a book about saphenous preservation. The book tries to simplify the matters of venous hemodynamics. The elimination of the saphenous vein (resection or ablation) is increasing in the last few years. This has short and long-term consequences not yet known. The saphenous preserving procedures may help to avoid indiscriminate elimination of veins and […]
Speeches Global Venous Forum 2021 – Felipe Faccini
Dr Faccini presented 2 speeches at the Global Venous Forum 2021 discussing hemodynamic sclerotherapy and saphenous overtreatment in later years. Speech 1: Saphenous Overtreatment Speech 2: Hemodynamic Sclerotherapy
CHIVA: Different from endolaser, stripping, radiofrequency and foam, it keeps the saphenous vein
CHIVA is different. The CHIVA method differs from the other methods of treating varicose veins because it places as the first premise the maintenance of the saphenous vein. It is Not the best method to eliminate saphenous as and done in stripping and in chemical and physical ablation (Laser, radiofrequency and sclerosis). In This technique, the […]
Reasons not to destroy the saphenous vein in varicose vein surgery
It is known that people who have varicose veins present alterations in the veins and tendency to recur. In this way, the less relapses in the long term the better for the patient. The lower the magnitude of the procedures in the reinterventions, the better for the patient. CHIVA presented fewer recurrences than stripping in […]
Procedure guidelines for patients
The procedure is performed under local anesthesia. For patient care and some mild sedation in more nervous people, we always have an anesthesiologist. For this reason, it is important the SIX-HOUR FAST (6H WATER). Preoperative exams requested by Dr F Faccini and staff, they should be ready on the day of surgery. Exams are not […]
Scientific Material CHIVA
The saphenous vein is the longest vein in the human body. It Has its origin on the ankle, runs in the inner part of the leg and thigh to the inguinal region where it enters the femoral vein leading to the superficial flow of the leg to the deep system. It is not a purely […]
History of CHIVA
In the 1980s Prof. Claude Franceschi in France began to develop the guidelines for the operation of the varicose vein preserving the saphenous vein (unlike all other treatments for the disease). In 1988, he published the first comprehensive book on the principles of hemodynamic treatment of varicose veins that was called “Cure conservatrice et Hemodynamique […]
Fractionating blood column and varicose veins
High hydrostatic pressure is the cause of dilated varicose veins and all clinical complications of the disease. Depending on the size of the blood pressure column, the dilation of the veins and the progressive clinical worsening occurs. An interesting parallel would be a waterfall, the higher and without obstacles the greater the force of water […]
Perthes test varicose veins
The Perthes test on varicose veins. The leg receives an elastic band and the patient walks a few steps, we observe if the veins wilt. This is because the flow leak from a deep-superficial connection in the thigh (non-physiological way) was closed with the band, The blood re-entered by a superficial-deep connection in the leg […]
Characteristics of CHIVA
The saphenous vein is the longest vein in the human body. It has its origin in the ankle, runs in the inner part of the leg and thigh until the inguinal region where it enters the femoral vein taking the superficial flow of the leg to the deep system. It is not a purely subcutaneous […]
Reasons why we prefer CHIVA
Have as few relapses as possible and have long-term international scientific evidence for it. We live decades after varicose vein operations. Thus, two years of evidence about recurrence is not significative. People with varicose veins are known to have a tendency to relapse. There is also evidence that the elimination of veins creates new veins. […]
Can or should we remove or destroy a saphenous vein in surgery?
The most frequent question in the vascular office is whether and if we should withdraw the saphenous vein. In our opinion the answer is that we should not. The saphenous vein is important for the patient’s future. This occurs both for saphenous bridges and for receiving collateral flow that develops in the future. See the […]
