Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy
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 t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2013-09-01
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| Series: | Veins and Lymphatics |
| Subjects: | |
| Online Access: | http://www.pagepressjournals.org/index.php/vl/article/view/1755 |
| _version_ | 1828843410273861632 |
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| author | Sergio Gianesini Erica Menegatti Michele Zuolo Mirko Tessari Simona Ascanelli Savino Occhionorelli Paolo Zamboni |
| author_facet | Sergio Gianesini Erica Menegatti Michele Zuolo Mirko Tessari Simona Ascanelli Savino Occhionorelli Paolo Zamboni |
| author_sort | Sergio Gianesini |
| collection | DOAJ |
| description | 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 [C<sub>1,2,3</sub>sEpAsPr<sub>1,2,3</sub>, venous clinical severity score (VCSS) 8 and 9 respectively] treated cases. At 1-year follow up both patients were C<sub>1,2,3</sub>sEpAsPr<sub>1,2,3</sub> 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. |
| first_indexed | 2024-12-12T20:45:41Z |
| format | Article |
| id | doaj.art-34886bce58f24c3f97fbe62b45681620 |
| institution | Directory Open Access Journal |
| issn | 2279-7483 |
| language | English |
| last_indexed | 2024-12-12T20:45:41Z |
| publishDate | 2013-09-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Veins and Lymphatics |
| spelling | doaj.art-34886bce58f24c3f97fbe62b456816202022-12-22T00:12:35ZengPAGEPress PublicationsVeins and Lymphatics2279-74832013-09-0122e21e2110.4081/vl.2013.e211239Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategySergio Gianesini0Erica Menegatti1Michele Zuolo2Mirko Tessari3Simona Ascanelli4Savino Occhionorelli5Paolo Zamboni6Vascular Disease Center, University of FerraraVascular Disease Center, University of FerraraVascular Disease Center, University of FerraraVascular Disease Center, University of FerraraVascular Disease Center, University of FerraraVascular Disease Center, University of FerraraVascular Disease Center, University of FerraraMini-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 [C<sub>1,2,3</sub>sEpAsPr<sub>1,2,3</sub>, venous clinical severity score (VCSS) 8 and 9 respectively] treated cases. At 1-year follow up both patients were C<sub>1,2,3</sub>sEpAsPr<sub>1,2,3</sub> 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.http://www.pagepressjournals.org/index.php/vl/article/view/1755chronic venous disease, CHIVA, laser, conservative, hemodynamic. |
| spellingShingle | Sergio Gianesini Erica Menegatti Michele Zuolo Mirko Tessari Simona Ascanelli Savino Occhionorelli Paolo Zamboni Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy Veins and Lymphatics chronic venous disease, CHIVA, laser, conservative, hemodynamic. |
| title | Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy |
| title_full | Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy |
| title_fullStr | Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy |
| title_full_unstemmed | Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy |
| title_short | Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy |
| title_sort | short endovenous laser ablation of the great saphenous vein in a modified chiva strategy |
| topic | chronic venous disease, CHIVA, laser, conservative, hemodynamic. |
| url | http://www.pagepressjournals.org/index.php/vl/article/view/1755 |
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