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Abstract
Objective: To compare the results of stripping vs. haemodynamic correction (Ambulatory Conservative Haemodynamic Management of Varicose Veins, CHIVA) in the treatment of superficial venous incompetence resulting in chronic venous disease (CVD). Design: Prospective randomized comparative trial. Patients: 56 patients affected by CVD, CEAP clinical class 2-6, were randomized to saphenous stripping or to CHIVA. Methods: The clinical outcome was assessed by using the Hobbs clinical score for treated limbs. A subjective report of the outcome was provided by the patients. Recurrence of varices was assessed by both clinical examination and duplex ultrasonography. Results: The mean follow up was 1 year. The Hobbs score did not show a major difference in the stripping and CHIVA groups. The clinical outcome of stripping led to slightly less recurrence than CHIVA however it isn{u2019}t statistically significant P value=0.242. Duplex confirmed recurrence was higher in the CHIVA group. Conclusion: Recurrent varices occurred more frequently following CHIVA than after saphenous stripping treatment. CHIVA is safe and effective in the treatment of varicose veins in addition to preserving the GSV for drainage and being less surgically invasive but more experience and more follow up is needed