CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report

Abstract CHIVA (Cure Conservatrice et Hemodynamique de l’Insufficience Veineuse en Ambulatoire) is a type of operation for varicose veins that avoids destroying the saphenous vein and collaterals. We report a case of CHIVA treatment of two saphenous veins to spare these veins. The patient previousl...

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Main Authors: Felipe Puricelli Faccini, Ani Loize Arendt, Raphael Quintana Pereira, Alexandre Roth de Oliveira
Format: Article
Language:English
Published: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2019-01-01
Series:Jornal Vascular Brasileiro
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492019000100601&lng=en&tlng=en
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author Felipe Puricelli Faccini
Ani Loize Arendt
Raphael Quintana Pereira
Alexandre Roth de Oliveira
author_facet Felipe Puricelli Faccini
Ani Loize Arendt
Raphael Quintana Pereira
Alexandre Roth de Oliveira
author_sort Felipe Puricelli Faccini
collection DOAJ
description Abstract CHIVA (Cure Conservatrice et Hemodynamique de l’Insufficience Veineuse en Ambulatoire) is a type of operation for varicose veins that avoids destroying the saphenous vein and collaterals. We report a case of CHIVA treatment of two saphenous veins to spare these veins. The patient previously had a normal great saphenous vein stripped in error in a wrong-site surgery, while two saphenous veins that did have reflux were not operated. The patient was symptomatic and we performed a CHIVA operation on the left great and right small saphenous veins. The postoperative period was uneventful and both aesthetic and clinical results were satisfactory. This case illustrates that saphenous-sparing procedures can play an important role in treatment of chronic venous insufficiency. Additionally, most safe surgery protocols do not adequately cover varicose veins operations. Routine use of duplex scanning by the surgical team could prevent problems related to the operation site.
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spelling doaj.art-5fd0b49380754acfaa7aa5ec6ed9a8282022-12-21T18:55:22ZengSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro1677-73012019-01-0118010.1590/1677-5449.007718S1677-54492019000100601CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case reportFelipe Puricelli FacciniAni Loize ArendtRaphael Quintana PereiraAlexandre Roth de OliveiraAbstract CHIVA (Cure Conservatrice et Hemodynamique de l’Insufficience Veineuse en Ambulatoire) is a type of operation for varicose veins that avoids destroying the saphenous vein and collaterals. We report a case of CHIVA treatment of two saphenous veins to spare these veins. The patient previously had a normal great saphenous vein stripped in error in a wrong-site surgery, while two saphenous veins that did have reflux were not operated. The patient was symptomatic and we performed a CHIVA operation on the left great and right small saphenous veins. The postoperative period was uneventful and both aesthetic and clinical results were satisfactory. This case illustrates that saphenous-sparing procedures can play an important role in treatment of chronic venous insufficiency. Additionally, most safe surgery protocols do not adequately cover varicose veins operations. Routine use of duplex scanning by the surgical team could prevent problems related to the operation site.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492019000100601&lng=en&tlng=enwrong-site surgeryCHIVAvenous operationsaphenous vein sparing
spellingShingle Felipe Puricelli Faccini
Ani Loize Arendt
Raphael Quintana Pereira
Alexandre Roth de Oliveira
CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report
Jornal Vascular Brasileiro
wrong-site surgery
CHIVA
venous operation
saphenous vein sparing
title CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report
title_full CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report
title_fullStr CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report
title_full_unstemmed CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report
title_short CHIVA to spare the small and great saphenous veins after wrong-site surgery on a normal saphenous vein: a case report
title_sort chiva to spare the small and great saphenous veins after wrong site surgery on a normal saphenous vein a case report
topic wrong-site surgery
CHIVA
venous operation
saphenous vein sparing
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492019000100601&lng=en&tlng=en
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