CHIVA: Results from Literature

Abstract

Along the years, scientific clinical data have been collected concerning the possible saphenous flow restoration without any ablation and according to the CHIVA strategy (Gianesini et al. Phlebology 30:157–71, 2015). Since 1988, when C. Franceschi gave the first description of this strategy (Franceschi 1988), the scientific debate has been opened regarding the success of the saphenous-sparing therapeutic approach to treat chronic venous disease (Fichelle et al., J Mal Vasc. 17:224–228, 1992; Franceschi J Mal Vasc. 17(4):291–300, 1992; Bahnini et al. 1997). A first series of studies have been published during the twentieth century, addressed to compare these minimally invasive techniques with the current surgical practice on varicose veins; however, the series included few prospective case-control studies (Franceschi et al. Int Angiol. 35(1):8–30, 2016). Subsequently, some randomized controlled trials were published in order to give more evidence on the use of CHIVA (Carandina et al. Eur J Vasc Endovasc Surg. 35:230–237, 2008; Iborra et al. ANGIOLOGÍA 58(6):459–468, 2006; Parés et al. Ann Surg. 251:624–631, 2010). Two Cochrane Reviews highlighted the smaller recurrence risk following a CHIVA strategy rather than a saphenous stripping (Bellmunt-Montoya et al. Cochrane Database Syst Rev. CD009648, 2013 and Cochrane Database Syst Rev. CD009648, 2015). The aim of this chapter is to summarize the scientific literature on CHIVA technique.