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International Angiology 2016 February;35(1):8-30

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

CHIVA: hemodynamic concept, strategy and results

Claude FRANCESCHI 1, Massimo CAPPELLI 2, Stefano ERMINI 3, Sergio GIANESINI 4, Erika MENDOZA 5, Fausto PASSARIELLO 6, Paolo ZAMBONI 4

1 Centre Marie Therese Hopital Saint Joseph, Paris, France; 2 Private Practitioner, Florence, Italy; 3 Private Practitioner, Grassina, Florence, Italy; 4 Vascular Diseases Center, University of Ferrara, Italy; 5 Venenpraxis, Wunstorf, Germany; 6 Diagnostic Centre Aquarius, Napoli, Italy


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The first part of this review article provides the physiologic background that sustained the CHIVA principles development. Then the venous networks anatomy and flow patterns are described with pertinent sonographic interpretations, leading to the shunt concept description and to the consequent CHIVA strategy application. An in depth explanation into the hemodynamic conservative cure approach follows, together with pertinent review of the relevant literature.

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