CHIVA treatment of saphenous vein insufficiency with aneurysm of the great saphenous vein in von Willebrand’s disease

Abstract

SummaryIn patients with an increased tendency to bleeding and severe varicose veins, even the minimally invasive venous procedure CHIVA requires careful planning and risk assessment. CHIVA treatment is reported in a 67-year-old female patient with aneurysm of the great saphenous vein at the saphenofemoral junction, reflux above and below the knee (Hach III), skin changes (C4a) and von Willebrand’s disease. Radiofrequency was used over a 13 cm segment in the proximal great saphenous vein. The result shows a reduction in the diameter of the great saphenous vein at the thigh from 8.2 to 5.4 mm and an absence of reflux and absence of clinic. Even in patients with severe findings, a minor procedure can achieve a good clinical result with low risk.