aree scientifiche

Journal of Vascular Diagnostics  26 September 2013 Volume 2013:1 Pages 13—20

Abstract: The cure Conservatrice Hémodynamique de l’Insuffisance Veineuse en Ambulatoire (CHIVA) can be office based (OB). The OB-CHIVA protocol is aimed at transferring CHIVA procedures to specialists rooms. The protocol will check the feasibility of OB-CHIVA, data pertaining to recurrence, and will offer the opportunity to study saphenous femoral junction (SFJ) stump evolution, the role of the washing vessels and the arch recanalization rate, and gather new data about the effect of the length of the treated saphenous vein. A simplified diagnostic procedure will allow an essential ultrasound examination of the venous net while a schematic and easily readable algorithm guides therapeutic choices. The Riobamba draining crossotomy (RDC) tactic is composed of a set of OB procedures. While some of these procedures are, at the moment, only proposals, others are already applied. Devices generally used in ablative procedures such as Light Amplification by Stimulated Emission of Radiation (LASER), radio frequency, steam, and mechanical devices are used in this context to serve to conservative interventions for CHIVA. New techniques have also been proposed for devalvulation and tributary disconnection. Detailed follow-up is necessary in order to determine the effects of therapy and possible disease evolution. Finally, information is added about the informed consent and the ethical considerations of OB-CHIVA research.

13) GIANESINI S.,MENEGATTI E., ZUOLO M., TESSARI M., ASCANELLI S., OCCHIONORELLI S., ZAMBONI P.: Short endovenous laser ablation of the great saphenous vein in a modified CHIVA strategy, Veins and Lymphatics, 2013, volume 2: e21, https://www.

pagepressjournals.org/index.php/vl/article/view/vl.2013.e21.

14) GIANESINI S. et Al. : Mini-invasive high-tie by clip apposition

versus crossectomy by ligature: Long-term outcomes and review of the available therapeutic options

Phlebology OnlineFirst, published on May 9, 2016 as doi:10.1177/0268355516648066

Abstract

Objective: The aim of the present study is to compare a mini-invasive (smaller than 2-cm incision) sapheno-femoral

high-tie by clip apposition (HT group) with a traditional high-ligation by ligature (HL group).

Methods: One hundred fifty chronic venous disease patients were included in group HT and compared with 150 cases constituting the group HL. The main outcome was the sonographic detection of saphenous trunk recurrences. Procedural pain, esthetic satisfaction, and disease specific quality of life were assessed.

Results: At 4.5_2.4 years follow-up, 8 cases (5.3%) of Great Saphenous Vein reflux reappearance were reported in group HT vs. 19 cases (12.6%) (odds ratio: 2.6; 95% confidence interval: 1.1–6.1; P.0.04) of group HL. Esthetic satisfaction was scored as high and very high in group HT and HL, respectively (P<.0001).

Conclusions: Proper high-ligation technique provides satisfying outcomes both in terms of recurrence rate and patient

esthetic satisfaction. The different outcomes obtained by the two groups encourage further investigations regarding recurrence pathogenesis.

15) CAPPELLI M. et Al.: Ligation of the saphenofemoral junction tributaries as risk factor for groin recurrence.

J Vasc Surg Venous Lymphat Disord. 2018 Mar;6(2):224-229. doi: 10.1016/j.jvsv.2017.09.005. Epub 2017 Dec 28.

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