García Carriazo M, Gómez de las Heras C, Mármol Vázquez P, Ramos Solís M F
Unidad de Gestión Clínica de Radiodiagnóstico. Hospital Universitario Virgen Macarena, Sevilla, España.
Unidad de Gestión Clínica de Radiodiagnóstico, Hospital de la Merced, Osuna, Sevilla, España.
Radiologia. 2016 Jan-Feb;58(1):7-15. doi: 10.1016/j.rx.2015.10.006. Epub 2015 Dec 4.
Chronic venous insufficiency of the lower limbs is very prevalent. In recent decades, Doppler ultrasound has become the method of choice to study this condition, and it is considered essential when surgery is indicated. This article aims to establish a method for the examination, including venous mapping and preoperative marking. To this end, we review the venous anatomy of the lower limbs and the pathophysiology of chronic venous insufficiency and explain the basic hemodynamic concepts and the terminology required to elaborate a radiological report that will enable appropriate treatment planning and communication with other specialists. We briefly explain the CHIVA (the acronym for the French term "cure conservatrice et hémodynamique de l'insuffisance veineuse en ambulatoire"=conservative hemodynamic treatment for chronic venous insufficiency) strategy, a minimally invasive surgical strategy that aims to restore correct venous hemodynamics without resecting the saphenous vein.
下肢慢性静脉功能不全非常普遍。在最近几十年里，多普勒超声已成为研究这种病症的首选方法，并且在需要进行手术时被认为是必不可少的。本文旨在建立一种检查方法，包括静脉造影和术前标记。为此，我们回顾了下肢的静脉解剖结构以及慢性静脉功能不全的病理生理学，并解释了基本的血流动力学概念以及编写一份能够实现适当治疗规划并与其他专科医生沟通的放射学报告所需的术语。我们简要解释了CHIVA（法语术语“cure conservatrice et hémodynamique de l'insuffisance veineuse en ambulatoire”的首字母缩写，意为“慢性静脉功能不全的保守血流动力学治疗”）策略，这是一种微创外科策略，旨在恢复正确的静脉血流动力学，而不切除大隐静脉。
