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  • CHIVA Method - A Modern Solution for Varicose Veins
CHIVA Method - A Modern Solution for Varicose Veins
28 Jun
  • Frano Šimić Author: Frano Šimić
  • 28.06.2026

CHIVA Method - A Modern Solution for Varicose Veins

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The CHIVA method – a modern solution for varicose veins

Varicose veins, a common condition that affects millions of people around the world, are not just a cosmetic concern. These dilated, twisted veins that typically appear on the legs can cause discomfort and pose a health risk, which is often attributed to a sedentary lifestyle. In modern times there has been a significant rise in the prevalence of varicose veins, mainly due to prolonged periods of inactivity, whether as a result of sitting at a desk for long stretches, a largely immobile way of life or a lack of regular physical activity. This condition not only affects physical health but also raises concerns about the overall quality of life of a significant number of individuals.

When it comes to the treatment of varicose veins, the best approach depends on which parts of the venous system are affected and how pronounced the venous disorder is. The classical surgical solutions that are mostly available are complex to perform and fall into the category of more demanding operations. With the new CHIVA method of surgical treatment of varicose veins this risk is reduced to a minimum while efficacy is preserved.

The CHIVA method

What is the CHIVA method?

CHIVA is an abbreviation of Cure Conservatrice et Hémodynamique de l’Insuffisance Veineuse en Ambulatoire, which translated means outpatient treatment of varicose veins that preserves the veins and corrects blood flow. The procedure itself is carried out by ligating the affected veins at specific points under ultrasound guidance.

How does the CHIVA method work?

The basic principle of the method is to prevent the pathological flow of blood in the dilated veins of the legs. With the CHIVA method the dilated veins are ligated at specific points so that blood cannot flow backwards, which leads to an improvement of symptoms and, in cases of ulcers, also to the healing of the wound.

Description of the procedure

After a detailed examination by a vascular surgeon, using Doppler ultrasound, the surgeon determines the points at which the veins are to be ligated and draws up the plan of the operation itself. The procedure can be performed under local or general anaesthesia depending on the complexity of the varicose veins. After accessing the veins, the surgeon reaches them through a small incision and surgically ligates them.

Who is CHIVA therapy suitable for?

The CHIVA method is an ideal solution for patients with varicose veins (venous insufficiency). With this method both small and large superficial veins can be corrected.

Advantages and disadvantages

The CHIVA method represents a minimally invasive approach and therefore ranks among the safest procedures available for the removal of veins, with no scarring and no risk of infection. Symptoms such as swollen legs, calf cramps and a sense of pressure subside rapidly, while the cosmetic effect requires a longer period of time.

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