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Saphenous Sparing Strategy in the CHIVA Context

  • Erika Mendoza
Chapter

Abstract

Since its publication in 1988 by Claude Franceschi, lots of professionals of phlebology have understood the challenge and learned about venous networks, reflux and drainage pathways, shunt types and venous function restoration. Depending on the shunt type, different treatment decisions are possible and necessary. This chapter aims to explain the single steps to decide which treatment to apply to which patient with superficial venous reflux. It starts explaining the definitions used in the international CHIVA group. Then the treatment options in case of each possible compartment jump are explained. Finally, the treatment strategy depending on the shunt type is summarised and illustrated with clinical examples. An essential basis to understand and take profit from this chapter is the comprehension of shunt types as described in Sects.  3.7–3.9, based on the knowledge acquired in Chap.  2 (functional anatomy), Chap.  3 (physiology) and Chap.  4 (duplex ultrasound investigation).

Abbreviations

AASV

Anterior accessory saphenous vein

GSV

Great saphenous vein

PASV

Posterior accessory saphenous vein

RET

Reflux elimination test

SFJ

Sapheno-femoral junction

SPJ

Sapheno-popliteal junction

SSV

Small saphenous vein

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.VenenpraxisWunstorfGermany

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