Comparative study between great saphenous vein endovenous laser ablation (EVLA) and modified haemodynamic correction (CHIVA) as a treatment for varicose veins
Keywords:
varicose veins, CEAP classification, CHIVA, EVLAAbstract
Varicose veins (VV) could be a handicapping condition which may lead to limb swelling, pain and venous stasis ulcer. Prevalence of VV could present from 1% to 73% and from 2% to 56% at women and men respectively. CHIVA has been developed through the last two decades and is currently the second most common surgical procedure for the operative management of VV. Endovenous laser treatment of GSV was approved by FDA in 2002 and SSV was approved in 2003. EVLT allows delivery of Laser energy directly into the blood vessel lumen. EVLT with a 1470-nm diode Laser system is clinically safe, feasible and well-tolerated technique without scar and allows people to return to their normal daily activities rapidly. In a prospective comparative study between January 2018 and January 2020, 40 patients from those attended the outpatient departments complaining from VV were assessed according to the CEAP classification and ultrasonic duplex and arranged into group I (CHIVA) and group II (EVLA). Both CHIVA operation and EVLA were performed under local anesthesia. Cases were reviewed regularly at the outpatient clinic for 6 months for recurrence and complications. The recurrence occurred at 2/20 and 0/20 at CHIVA and EVLA respectively.
Downloads
References
Peter H., Jesus M. Matos, Aaron Chen, Walter Kim, Mun J. Poi, Jenny S. Jiang, and Carlos F.(2016) Vascular and Endovascular Surgery, 50 (4) 277-282
Raffaele Serra, Bruno Amato, Lucia Butrico, Andrea Barbetta, Giovanni De Caridi, Mafalda Massara, Francesco G Cali, Chiara Longo, Gianfranco Dardano, Marco Cannistrà, Gianluca Buffone and Stefano de Franciscis (2016) International Wound Journal , ISSN 1742-4801
Noel P Lynch, M Clarke and Greg J Fulton (2015) surgical management of great saphenous vein varicose veins: A meta-analysis, sagepub.co.uk. 23(3) 285–296
Maldonado-Ferna'ndez N, Linares-Palomino JP, Lo'pez-Espada C, Martı'nez-Ga'mez FJ, Ros-Dı'e E. (2016) Clinical Results of a New Strategy (Modified CHIVA), 94: 144-150
Andrea T. Obi, Tatum Jackson, and Thomas W. Wakefield (2015) Peripheral Venous Disease: Varicose Veins and Chronic Venous Insufficiency, Springer DOI 10.1007/978-3-642-37078-6_160
Jose I. Almeida et al. (2012). Endovenous thermal Ablation of Saphenous Reflux. Atlas of Endovasvular Venous Surgery;(4): 84-106
The evolution of varicose vein treatment: Ligation to noninvasive therapy (2019). Available at: https://venousnews.com/evolution-varicose-vein-treatment/ (Accessed: 2 June 2020).
Carandina S, Mari C, De Palma M, Marcellino MG, Cisno C, Legnaro A, Liboni A,Zamboni P. (2008) Varicose vein stripping vs haemodynamic correction (CHIVA): a long term randomised trial. Eur J VascEndovasc Surg; 35(2):230-7
Iborra-Ortega E, Barjau-Urrea E, Vila-Coll R, Ballon-Carazas H, Cairols-Castellote MA (2006), Comparative study of two surgical techniques in the treatment of varicose veins of the lower extremities: results after five years of follow up. Angiología 2006; 58(6):459–68
Pares JO, Juan J, Tellez R, Mata A, Moreno C, Quer FX, et al. (2010) Varicose vein surgery: stripping versus the CHIVA method: a randomized controlled trial. Annals of Surgery;251(4):624–31
Proebstle TM, Herdeman S.,( 2005). Feasibility of incompetent perforator vein ablation by endovenous laser treatment. In: Presented at the German Phlebologic Society Annual Meeting, September
Vuylsteke, Marc & Mordon, Serge, et al. (2013). Commonly used fiber tips in endovenous laser ablation (EVLA): An analysis of technical differences. Lasers in medical science. 29. 10.1007/s10103-013-1475-2.
Doganci, Suat & Demirkilic, U. (2010). Comparison of 980 nm Laser and Bare-tip Fibre with 1470 nm Laser and Radial Fibre in the Treatment of Great Saphenous Vein Varicosities: A Prospective Randomised Clinical Trial. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. 40. 254-9. 10.1016/j.ejvs.2010.04.006
Eva, R. C. Tiutiuca, C. Stanciu (2014); CHIVA - Ecographic Aspects and Surgical Results, Maxilo-Facial Surgery, Vol. 4: 63-70
Bellmunt-Montoya S, Escribano JM, Dilme J, Martinez-Zapata MJ (2015) CHIVA method for the treatment of chronic venous insufficiency, cochrane library 10.1002/14651858
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.