Clinical results of a new strategy (modified CHIVA) for surgical treatment of anterior accessory great saphenous varicose veins

Cirugía española
Nicolás Maldonado-FernándezEduardo Ros-Díe

Abstract

Traditionally, anterior accessory great saphenous vein insufficiency was managed by crossectomy and resection of varicose veins. The aim of this paper is to show the safety and efficacy of a new therapeutic strategy for anterior accessory great saphenous varicose veins. This non-randomised prospective study included 65 patients with varicose veins from the anterior accessory great saphenous vein. The novelty of the technique is to avoid the great saphenous vein crossectomy and perform just flebectomy of the visible veins. Venous duplex studies were performed preoperatively, a month and a year postoperatively. The clinical assessment was done by the Fligelstone scale. The baseline CEAP clinical classification was: 58% C2, 26% C3 and 15% C4-6. The new strategy was applied to all cases. 3 haematomas, 7 cases of asymptomatic partial anterior saphenous thrombosis. Reduction of the initial average diameter was from 6.4 mm anterior saphenous to 3.4 mm by one year (p <0.001). At twelve months a forward flow is maintained in 82% of cases. Recurrence of varicose veins was 8%. All patients improved their clinical status based on the Fligelstone scale. Cases with saphenous diameter bigger than 7.5 mm and obesity were identified as predicto...Continue Reading

References

May 22, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P ZamboniA Liboni
Jan 29, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J M EscribanoM Matas
Nov 25, 2003·Annals of the Royal College of Surgeons of England·J P GarnerP W Leopold
Mar 10, 2009·Journal of Vascular Surgery·Miguel García-GimenoCarlos Vaquero Puerta
Mar 21, 2009·Cirugía española·Germán Morales-CuencaJose Luis Aguayo-Albasini
May 18, 2010·The British Journal of Surgery·P ZamboniA Liboni
Mar 1, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N S Theivacumar, M J Gough

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Citations

Oct 1, 2021·The Cochrane Database of Systematic Reviews·Sergi Bellmunt-MontoyaMaria José Martinez-Zapata

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