Saphenous Vein-Sparing Strategies in Chronic Venous Disease

Description

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. Front Matter ....Pages i-xi Front Matter ....Pages 1-1 Historical Background and Rationale (Paolo Zamboni)....Pages 3-7 Functional Anatomy of Leg Veins (Sergio Gianesini, Paolo Zamboni, Erika Mendoza)....Pages 9-33 Venous Reflux Patterns (Sergio Gianesini, Paolo Zamboni, Erika Mendoza)....Pages 35-74 Duplex Ultrasound of Superficial Leg Veins in the Context of Saphenous Vein Sparing Surgery (Erika Mendoza, Erica Menegatti)....Pages 75-114 Second-Level Imaging (Sergio Gianesini, Paolo Zamboni, Erika Mendoza)....Pages 115-118 Front Matter ....Pages 119-119 Saphenous Sparing Strategy in the CHIVA Context (Erika Mendoza)....Pages 121-180 CHIVA: Surgical Tips and Tricks (Sergio Gianesini, Roberto Delfrate, Massimo Cappelli, Erika Mendoza)....Pages 181-202 Minimally Invasive Surgical Treatment of Pelvic Leak Points (Roberto Delfrate, Erika Mendoza)....Pages 203-215 Haemodynamic Management of Deep Venous Insufficiency (Sergio Gianesini, Erika Mendoza, Paolo Zamboni)....Pages 217-223 CHIVA: Results from Literature (Erika Mendoza, Erica Menegatti)....Pages 225-238 Perioperative Management in Saphenous Sparing Surgery (Erika Mendoza)....Pages 239-250 Front Matter ....Pages 251-251 Ambulatory Selective Varices Ablation Under Local Anaesthesia (ASVAL) (Paul Pittaluga, Sylvain Chastanet)....Pages 253-264 External Valvuloplasty of the Sapheno-Femoral Junction (Paolo Zamboni, Sergio Gianesini)....Pages 265-276 Front Matter ....Pages 277-277 Treatment Options Depending on the Patient’s Presentation (Erika Mendoza)....Pages 279-289