A recent systematic review and meta-analysis published in the Annals of Vascular Surgery (February 2026) evaluates the efficacy of the hemodynamic-based CHIVA technique compared to traditional destructive treatments like stripping and thermal ablation (EVLA/RFA).

Analyzing data from 11 studies and over 13,000 patients, the research demonstrates that CHIVA significantly reduces the risk of saphenous nerve injury and postoperative ecchymosis while maintaining equivalent results in recurrence rates and safety profiles. This study reinforces CHIVA’s position as a superior, minimally invasive alternative for venous disease management.