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[Ambulatory conservative hemodynamic correction of venous insufficiency. Technique, results].
Ann Chir. 1997; 51(7):749-60.AC

Abstract

Ambulatory conservative haemodynamic correction of venous insufficiency (CHIVA) is a surgical treatment of superficial venous insufficiency designed to correct the pathological haemodynamic effects of superficial venous insufficiency apparent on standing. Surgical treatment is based on precise preoperative anatomical and haemodynamic mapping performed by duplex ultrasound, providing preoperative ultrasound-guided marking. Surgical treatment consists of dividing the hydrostatic pressure column and disconnecting venovenous shunts by ligation-section of the superficial venous network at precise points determined by the preoperative ultrasound-guided marking. This strategy should achieve a superficial venous circuit draining perfectly into the competent deep venous network. The operation is performed under local anaesthesia as an outpatient procedure and allows immediate resumption of walking, which promotes a good result due to activation of the calf muscle pump. The results of the technique are very good provided a reliable preoperative ultrasound-guided marking and a precise surgical procedure are performed. Failures are due to poor haemodynamic assessment or inappropriate surgical procedure.

Authors+Show Affiliations

Service de Chirurgie Vasculaire, Groupe Hospitalier Pitié-Salpêtrière.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

fre

PubMed ID

9501547

Citation

Bahnini, A, et al. "[Ambulatory Conservative Hemodynamic Correction of Venous Insufficiency. Technique, Results]." Annales De Chirurgie, vol. 51, no. 7, 1997, pp. 749-60.
Bahnini A, Bailly M, Chiche L, et al. [Ambulatory conservative hemodynamic correction of venous insufficiency. Technique, results]. Ann Chir. 1997;51(7):749-60.
Bahnini, A., Bailly, M., Chiche, L., & Franceschi, C. (1997). [Ambulatory conservative hemodynamic correction of venous insufficiency. Technique, results]. Annales De Chirurgie, 51(7), 749-60.
Bahnini A, et al. [Ambulatory Conservative Hemodynamic Correction of Venous Insufficiency. Technique, Results]. Ann Chir. 1997;51(7):749-60. PubMed PMID: 9501547.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Ambulatory conservative hemodynamic correction of venous insufficiency. Technique, results]. AU - Bahnini,A, AU - Bailly,M, AU - Chiche,L, AU - Franceschi,C, PY - 1997/1/1/pubmed PY - 1998/3/21/medline PY - 1997/1/1/entrez SP - 749 EP - 60 JF - Annales de chirurgie JO - Ann Chir VL - 51 IS - 7 N2 - Ambulatory conservative haemodynamic correction of venous insufficiency (CHIVA) is a surgical treatment of superficial venous insufficiency designed to correct the pathological haemodynamic effects of superficial venous insufficiency apparent on standing. Surgical treatment is based on precise preoperative anatomical and haemodynamic mapping performed by duplex ultrasound, providing preoperative ultrasound-guided marking. Surgical treatment consists of dividing the hydrostatic pressure column and disconnecting venovenous shunts by ligation-section of the superficial venous network at precise points determined by the preoperative ultrasound-guided marking. This strategy should achieve a superficial venous circuit draining perfectly into the competent deep venous network. The operation is performed under local anaesthesia as an outpatient procedure and allows immediate resumption of walking, which promotes a good result due to activation of the calf muscle pump. The results of the technique are very good provided a reliable preoperative ultrasound-guided marking and a precise surgical procedure are performed. Failures are due to poor haemodynamic assessment or inappropriate surgical procedure. SN - 0003-3944 UR - https://www.unboundmedicine.com/medline/citation/9501547/[Ambulatory_conservative_hemodynamic_correction_of_venous_insufficiency__Technique_results]_ L2 - http://RD3FS2PT9J.search.serialssolutions.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqm&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&genre=article&issn=0003-3944&eissn=&volume=51&issue=7&spage=749&date=1997 DB - PRIME DP - Unbound Medicine ER -