kaiyun跟着CHIVA技能在众人的本质-kaiyun登录官网

发布日期：2024-10-04 03:40    点击次数：185

转自「张庞杂夫」kaiyun

由法国大夫Franceschi涵养建议的CHIVA，负责被纳入好意思国三大协会发布的最新临床指南（2023），这是静脉限制的一个紧迫里程碑。这三大学会包括：好意思国血管外科学会（SVS）、好意思国静脉论坛（AVF）和好意思国静脉与淋巴系统学会（AVLS）。CHIVA行为一种微创、保护静脉的替代调理身手，提供了处分静脉曲张的新选拔，标记着好意思国静脉诊疗技能参加了一个新阶段。

张庞杂夫集团和INTELEOS 鼓励CHIVA参加好意思国

Dr. Smile Medical Group和Inteleos起始将CHIVA引入好意思国商场。Dr. Smile Medical Group是众人向上的静脉病诊疗机构，Inteleos则在众人医疗认证和培训限制领有紧迫地位。两大机构的合营为CHIVA在好意思国医疗保健体系中的本质奠定了基础。当今，好意思国尚无专诚的CHIVA调理中心，但纽约首家CHIVA培训中心的探究责任照旧张开，这一举措有望翻新全好意思静脉曲张的调理花样。

临床把柄接济CHIVA的有用性

尽管好意思国最新临床指南保举早期静脉曲张使用CHIVA，并相称提到CHIVA必须由陶冶丰富、接受过检会的专科大夫来实施，但Dr. Smile Medical Group的最新多中心盘考标明，CHIVA在静脉曲张的各个阶段（从C2到C6，包括静脉溃疡）均流露出权贵上风。盘考迥殊标明，CHIVA不仅能缩短复发率，还能通过保留大隐静脉的功能权贵改善患者的调理效能。这与传统的静脉抽剥或消融术有着要紧别离，后者时常皆备移除或破碎静脉，导致更高的复发率和更多的并发症。

CHIVA技能的保举等第较低（2级，弱保举）和把柄强度中等（B级）的原因，可能与其学习弧线的笔陡以及部分不对格的CHIVA实施导致的负面影响磋商。

CHIVA技能行为一种保护静脉的微创疗法，条件大夫对静脉血流能源学有真切清醒，同期具备深通的操作技能。它的复杂性在于，大夫不仅要精确掌合手血流能源学旨趣，还要闇练操作以确保在不破碎静脉的前提下改进血流畸形。由于其实施历程中技能难度较高，大夫时常需要履历一段较长的学习弧线，才调达到理念念的调理效能。在这一历程中，要是操作不当，可能导致效能欠安，甚而导致调理失败。这种技能难度较高的学习弧线是影响CHIVA保举级别的紧迫身分之一。

跟着CHIVA技能在众人的本质，部分未经过系统培训或陶冶不及的大夫在实施该技能时未能达到预期效能，导致了一些负面松手。这些不对格的CHIVA操作不仅可能导致患者病情复发，还可能激励术后并发症。这些负面报说念对CHIVA技能的全体声誉产生了不良影响，进一步使得指南制定者对该技能持严慎气派，从而影响其保举级别和把柄强度的莳植。

好意思国患者调理将有新冲破

CHIVA现已被纳入好意思国主流的临床指南，这为好意思国大夫提供了一种对患者更友好的静脉曲张调理选拔。CHIVA专注于静脉的保护，稳健面前对微创手术的需求，既能加速收复，又能在永恒效能上更为优厚。跟着纽约首家CHIVA培训中心行将敞开，更多的好意思国大夫将接受该技能的专科培训，确保寰宇领域内更多患者省略得到这项先进的调理。

众人影响与异日彭胀

CHIVA被纳入这些泰斗指南，标记着其众人彭胀的关键一步。行为为数未几的非破碎性静脉曲张调理有盘算之一，CHIVA不仅将在好意思国得到更多矜恤，还将飞速在其他主要医疗商场站稳脚跟。Dr. Smile Medical Group远程于于将CHIVA带入好意思国商场，这也仅仅其众人政策的一部分，异日将通过建筑更多静脉调理中心，使众人患者更容易得到这种创新疗法。

跟着越来越多的诊所秉承CHIVA技能，众人CHIVA培训收集（尤其是在好意思国）的握住彭胀，这项调理瞻望将在异日几年景为寻求保留静脉、当然收复疗法的患者和大夫的首选有盘算。

原文转载：

CHIVA Treatment Included in U.S. Clinical Guidelines: A Major Step Forward for Varicose Veins Management

In a landmark development, CHIVA (Conservative Hemodynamic Cure for Venous Insufficiency) treatment has been officially recognized in the latest clinical guidelines issued by three major U.S. medical societies: the Society for Vascular Surgery (SVS), the American Venous Forum (AVF), and the American Vein and Lymphatic Society (AVLS). This inclusion signals a pivotal moment for vein care in the United States, as CHIVA offers a minimally invasive, vein-preserving alternative for managing varicose veins.

Bringing CHIVA to the U.S.: Dr. Smile Medical Group and Inteleos Lead the Charge

The introduction of CHIVA to the U.S. market is driven byDr. Smile Medical Group, a global leader in vein care, and Inteleos, a key player in medical certification and education. Together, they have laid the groundwork for bringing CHIVA into the spotlight of U.S. healthcare. Up until now, no specialized CHIVA treatment centers exist in the U.S., but plans are already underway to establish the first CHIVA training center in New York, a move that could revolutionize how varicose veins are treated nationwide.

Clinical Evidence Backs CHIVA’s Effectiveness

Although clinical guidelines recommend the use of CHIVA for early-stage varicose veins and specifically emphasize that CHIVA must be performed by experienced, well-trained professionals, a multi-center study by Dr. Smile Medical Groupy shows that CHIVA offers clear advantages for patients across all stages of varicose vein disease, from mild cases (C2) to more severe conditions , including venous ulcers（C6）. The research highlights CHIVA’s ability to not only reduce recurrence rates but also significantly improve patient outcomes by preserving the function of the great saphenous vein. This is a major departure from traditional vein-stripping or ablation techniques, which remove or destroy the vein entirely and can lead to higher rates of recurrence and complications.

One of the reasons for CHIVA's lower recommendation level (Grade 2, weak recommendation) and moderate strength of evidence (Grade B) is related to the steep learning curve and the negative impact caused by suboptimal CHIVA procedures.

CHIVA, as a vein-preserving, minimally invasive treatment, requires physicians to have a deep understanding of venous hemodynamics and advanced technical skills. The complexity lies in the fact that physicians not only need to grasp the principles of hemodynamics but also execute the procedure skillfully to correct venous reflux without damaging the veins. Due to the high level of technical difficulty involved, physicians often need to go through a prolonged learning curve to achieve optimal results. During this period, if the procedure is not performed correctly, it can lead to suboptimal outcomes or even treatment failure. This challenging learning curve is one of the key factors affecting CHIVA's recommendation level.

As CHIVA technology has been promoted globally, some physicians who have not undergone comprehensive training or lack experience have failed to achieve the expected outcomes when performing the procedure, resulting in negative outcomes. These suboptimal CHIVA procedures can lead to disease recurrence or postoperative complications. Such negative reports have tarnished CHIVA's overall reputation and made guideline developers more cautious about the technology, further affecting its recommendation level and strength of evidence.

A Vein Treatment Breakthrough for U.S. Patients

With CHIVA now included in these leading clinical guidelines, U.S. physicians have a new, patient-friendly option for treating varicose veins. CHIVA’s focus on vein preservation aligns perfectly with the growing demand for minimally invasive procedures that offer faster recovery times and better long-term results. As the first CHIVA training center in New York prepares to open its doors, more U.S. doctors will be trained in this advanced technique, ensuring wider access for patients nationwide.

Global Impact and Future Expansion

The inclusion of CHIVA in these guidelines represents a critical step in the treatment’s global expansion. As one of the few treatments that offer a non-destructive approach to varicose vein care, CHIVA is poised to gain traction not only in the U.S. but also in other major medical markets. Dr. Smile Medical Group’s initiative to bring CHIVA to the U.S. is part of a broader strategy to establish vein treatment centers around the world, making it easier for patients everywhere to access this innovative therapy.

As more clinics adopt the CHIVA technique and the global CHIVA training network—especially in the U.S.—continues to expand, this treatment is expected to become the preferred option for patients and physicians seeking vein-preserving, natural recovery therapies in the coming years.

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