aree scientifiche

Phlebology. 2010 Aug;25(4):212; author reply 213.

Comment on: Venous haemodynamics: what we know and don’t know. [Phlebology. 2009]

33) MOWATT-LARSSEN, Shortell C.: CHIVA.

Semin Vasc Surg. 2010 Jun;23(2):118-22.

Abstract

Based on a theoretical hemodynamic model, CHIVA (conservative hemodynamic cure for venous insufficiency) is an ultrasound-guided, minimally invasive surgical strategy performed under local anesthesia for the treatment of patients with varicose vein disease. After careful duplex mapping, the surgeon performs flush ligation procedures at the proximal origin of key points of reflux while meticulously maintaining superficial venous drainage to prevent varicosity recurrence. The saphenous veins are preserved. The strategy has been shown in studies to be safe and effective.

34) MOWATT-LARSSEN, Shortell CK.: Treatment of primary varicose veins has changed with the introduction of new techniques.

Semin Vasc Surg. 2012 Mar;25(1):18-24. 

Abstract

New technologies have produced a revolution in primary varicose vein treatments. Duplex ultrasound is now used for preoperative diagnosis, postoperative surveillance, and during many procedures. Ultrasound has also altered our understanding of the pathophysiology of chronic venous disease. Laser and radiofrequency saphenous ablations are common. Classic techniques, such as sclerotherapy, high ligation, stripping, and phlebectomy, have been improved. Magnetic resonance venography, computed tomographic venography, and intravascular ultrasound have improved diagnostic capabilities. New strategies like ambulatory selective varices ablation under local anesthesia (ASVAL) and conservative hemodynamic treatment for chronic venous insufficiency (CHIVA) raise important questions about how to manage these patients.

35) DUMITUR CASIAN: Metode contemporane de tratament al maladiei varicoase

Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale

Numărul 1(33) / 2012 / Pag. 319-322

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