Saphenous Vein-Sparing Strategies in Chronic Venous Disease

Foreword.- Preface.- I Introduction to the Concept and Rationale of the Saphenous Sparing Strategies.- 1 General aspects.- II Anatomical and Diagnostic Basis.- 2 Anatomy of leg veins.- 3 Duplex-sonography of superficial leg.- III CHIVA.- 4 History of CHIVA and distribution over the world.- 5 Physiologic basics of CHIVA.- 6 CHIVA-Strategy.- 7 Documentation.- 8 The surgical intervention technique.- 9 Indications and Organization around the CHIVA Strategy.- 10 CHIVA in case of deep venous insufficiency.- 11 Results of CHIVA in Literature.- IV Other Saphenous vein sparing Strategies.- 12 Extraluminal Valvuloplasty.- 13 ASVAL.- V Possibilities to treat a patient in a modern phlebologic setting.- 14 Diagnostic and Therapeutic Ressources.- 15 Treatment options.

This book is designed to equip the reader with a detailed knowledge of the pathophysiology of chronic venous disease and an understanding of the clinical benefits of restoring venous drainage by saphenous vein-sparing procedures, including minimization of invasiveness and reduction of the recurrence rate. All of the techniques currently available for vein-sparing strategies, including novel endovenous options, are clearly described and illustrated, with explanation of the role and value of recent technical innovations. The reader is guided through the entire management process, starting from diagnosis and proceeding through evaluation of the individual patient's needs to the successful implementation of appropriate treatment. In addition, the literature on relevant diagnostic and therapeutic protocols is thoroughly reviewed, covering all significant publications to the present day. The content is kept as simple as possible to help those new to the field. At the same time, the deep insights into theoretical and technical aspects will support even the most advanced specialists in their everyday practice.

Paolo Zamboni, MD, PhD, is Professor and Chief of the Vascular Disease Centre at the University of Ferrara, Italy, an investigation and clinical center for vascular disease and translational surgery. Over the past 20 years he has investigated in depth the possibility of restoring venous drainage by saphenous vein-sparing strategies, publishing more than 50 indexed papers and chapters on the topic. Erika Mendoza, MD, PhD, runs a Vein Office in Germany. Besides her clinical work, she is engaged in basic research into venous reflux and over the past decade she has published a number of publications on anatomy, duplex ultrasound, and physiology of the leg veins. Dr. Mendoza wrote a German handbook on CHIVA that explained the method for self-teaching purposes. For Springer, she authored Duplexultraschall der oberflachlichen Beinvenen (2nd edn., 2013) and co-edited Duplex Ultrasound of Superficial Leg Veins (2014) in cooperation with Dr. Nick Morrison (USA) and Dr. Christopher Lattimer (UK). Sergio Gianesini, MD PhD, is a surgeon working in the Vascular Disease Centre and Translational Surgery Unit of the University of Ferrara. He has published a number of articles and reviews on the topic of saphenous vein sparing. Looking to the future of such strategies, he is actively investigating the feasibility of using innovative endovenous devices in venous drainage restoration.