BackgroundSparing the Great Saphenous Vein capital for possible arterial substitution and recurrence decrease may be an alternative to current ablation options for Varicose Veins treatment. Conservative surgery of varicose veins (CHIVA) was suggested in 1988 by Franceschi, by limited veins interruptions in strategic points. However, the method did not diffuse due to the need for high Duplex expertise to determine the procedure in every single patient.MethodEvaluation of the literature regarding saphenous sparing, with special reference to CHIVA.ResultIt has been realized that basic Ultrasound expertise is sufficient for performing GSV conservation. Most of the time, only a few parameters are needed: a junction competence assessment and a re-entry perforator position.ConclusionFor achieving the goal of saphenous conservative treatment, a limited phlebectomy and possible Junction interruption (crossotomy) may be a simplified solution.

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CHIVA 傻瓜版

背景保留大隐静脉资本以进行可能的动脉替代和减少复发可能是当前静脉曲张治疗消融方案的替代方案。Franceschi 于 1988 年提出了静脉曲张保守手术 (CHIVA)，通过在关键点进行有限的静脉中断。然而，由于需要高 Duplex 专业知识来确定每个患者的手术，该方法并未普及。方法评估有关隐静脉保留的文献，特别参考 CHIVA。结果已经意识到基本的超声专业知识足以执行GSV 保护。大多数时候，只需要几个参数：连接能力评估和再入穿支位置。结论为了实现隐静脉保守治疗的目标，有限的静脉切除术和可能的连接中断（交叉切开术）可能是一个简化的解决方案。