{"id":7782,"date":"2026-02-26T07:45:33","date_gmt":"2026-02-26T07:45:33","guid":{"rendered":"https:\/\/asianvenousacademy.org\/?p=7782"},"modified":"2026-07-30T08:27:32","modified_gmt":"2026-07-30T08:27:32","slug":"academic-frontiers-a-systematic-review-and-meta-analysis-comparing-chiva-with-conventional-stripping-and-ablation","status":"publish","type":"post","link":"https:\/\/asianvenousacademy.org\/zh\/academic-frontiers-a-systematic-review-and-meta-analysis-comparing-chiva-with-conventional-stripping-and-ablation\/","title":{"rendered":"\u5b78\u8853\u524d\u6cbf\uff1a\u4e00\u9805\u6bd4\u8f03 CHIVA \u8207\u50b3\u7d71\u522e\u9664\u8853\u53ca\u6d88\u878d\u8853\u7684\u7cfb\u7d71\u6027\u6587\u737b\u56de\u9867\u8207\u8588\u8403\u5206\u6790"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1459508073015\"><div class=\"wpb_column vc_column_container vc_col-sm-12 vc_col-lg-9 vc_col-md-9\"><div class=\"vc_column-inner vc_custom_1452702342137\"><div class=\"wpb_wrapper\"><div class=\"vc_custom_heading no_stripe text_align_left\" ><h2 style=\"text-align: left\" class=\"consulting-custom-title\">Academic Frontiers: A Systematic Review and Meta-Analysis Comparing CHIVA with Conventional Stripping and Ablation<\/h2><\/div>\n\t<div  class=\"wpb_single_image wpb_content_element vc_align_left wpb_content_element\">\n\t\t\n\t\t<figure class=\"wpb_wrapper vc_figure\">\n\t\t\t<div class=\"vc_single_image-wrapper   vc_box_border_grey\"><img loading=\"lazy\" decoding=\"async\" width=\"2134\" height=\"950\" src=\"https:\/\/asianvenousacademy.org\/wp-content\/uploads\/2026\/02\/\u622a\u5c4f2026-02-26-18.41.57.png\" class=\"vc_single_image-img attachment-full\" alt=\"\" title=\"\u622a\u5c4f2026-02-26 18.41.57\" srcset=\"https:\/\/asianvenousacademy.org\/wp-content\/uploads\/2026\/02\/\u622a\u5c4f2026-02-26-18.41.57.png 2134w, https:\/\/asianvenousacademy.org\/wp-content\/uploads\/2026\/02\/\u622a\u5c4f2026-02-26-18.41.57-300x134.png 300w, https:\/\/asianvenousacademy.org\/wp-content\/uploads\/2026\/02\/\u622a\u5c4f2026-02-26-18.41.57-1024x456.png 1024w, https:\/\/asianvenousacademy.org\/wp-content\/uploads\/2026\/02\/\u622a\u5c4f2026-02-26-18.41.57-768x342.png 768w, https:\/\/asianvenousacademy.org\/wp-content\/uploads\/2026\/02\/\u622a\u5c4f2026-02-26-18.41.57-1536x684.png 1536w, https:\/\/asianvenousacademy.org\/wp-content\/uploads\/2026\/02\/\u622a\u5c4f2026-02-26-18.41.57-2048x912.png 2048w, https:\/\/asianvenousacademy.org\/wp-content\/uploads\/2026\/02\/\u622a\u5c4f2026-02-26-18.41.57-900x401.png 900w, https:\/\/asianvenousacademy.org\/wp-content\/uploads\/2026\/02\/\u622a\u5c4f2026-02-26-18.41.57-600x267.png 600w\" sizes=\"(max-width: 2134px) 100vw, 2134px\" \/><\/div>\n\t\t<\/figure>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element vc_custom_1785400048182\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h3 class=\"wp-block-heading\"><strong>I. Publication Information<\/strong><\/h3>\n<ul>\n<li><strong>Journal:<\/strong>&nbsp;<em>Annals of Vascular Surgery<\/em><\/li>\n<li><strong>Title:<\/strong>&nbsp;<em>Systematic Review and Meta-Analysis Comparing the Efficacy of CHIVA and Conventional Stripping and Ablation Techniques<\/em><\/li>\n<li><strong>Authors:<\/strong>&nbsp;Jinghe Zhu, Hongjie Cui, Menglong Li, Yingfeng Wu<\/li>\n<li><strong>Publication Date:<\/strong>&nbsp;February 16, 2026<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\"><strong>II. Background and Study Scale<\/strong><\/h3>\n<p>This systematic review synthesized evidence from&nbsp;11 studies&nbsp;(comprising 3 randomized controlled trials and 8 cohort studies), encompassing a total sample size of&nbsp;13,089 patients. The objective was to evaluate the efficacy of the hemodynamic-based CHIVA method relative to traditional destructive surgical techniques.<\/p>\n<p><strong>Distribution of Patient Cohorts:<\/strong><\/p>\n<ul>\n<li><strong>CHIVA Group:<\/strong>&nbsp;6,908 cases<\/li>\n<li><strong>Conventional Stripping Group:<\/strong>&nbsp;5,988 cases<\/li>\n<li><strong>Endovenous Laser Ablation (EVLA) Group:<\/strong>&nbsp;110 cases<\/li>\n<li><strong>Radiofrequency Ablation (RFA) Group:<\/strong>&nbsp;83 cases<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\"><strong>III. Core Research Findings<\/strong><\/h3>\n<h4 class=\"wp-block-heading\"><strong>1. Superior Outcomes (Favoring CHIVA)<\/strong><\/h4>\n<ul>\n<li><strong>Saphenous Nerve Injury:<\/strong>The risk of nerve injury was significantly lower in the CHIVA group compared to the stripping group ($RR: 0.07; 95\\% \\text{ CI}: 0.02, 0.22; P &lt; 0.0001$). CHIVA also demonstrated a superior safety profile compared to thermal ablation techniques (EVLA\/RFA) ($RR: 0.14; 95\\% \\text{ CI}: 0.03, 0.74; P = 0.02$).<\/li>\n<li><strong>Postoperative Ecchymosis:<\/strong>CHIVA significantly reduced the incidence of postoperative bruising compared to alternative treatments ($RR: 0.62; 95\\% \\text{ CI}: 0.54, 0.71; P &lt; 0.0001$).<\/li>\n<\/ul>\n<h4 class=\"wp-block-heading\"><strong>2. Clinical Equivalence<\/strong><\/h4>\n<p>No statistically significant differences were observed between CHIVA and the control groups (stripping or ablation) regarding the following parameters:<\/p>\n<ul>\n<li>Recurrence rates<\/li>\n<li>Thrombophlebitis<\/li>\n<li>Wound infections<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\"><strong>IV. Conclusion and Recommendations<\/strong><\/h3>\n<p>The study concludes that the&nbsp;CHIVA technique&nbsp;offers distinct advantages in minimizing postoperative saphenous nerve injury and ecchymosis. Furthermore, it maintains equivalence to conventional destructive methods in terms of long-term recurrence and infection risks, supporting its role as a viable, conservative hemodynamic alternative.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<div class=\"post_bottom_wr \">\n    <div class=\"post_bottom media\">\n\t<div class=\"tags media-body\"><a href=\"https:\/\/asianvenousacademy.org\/zh\/tag\/chiva\/\" rel=\"tag\">CHIVA<\/a> <a href=\"https:\/\/asianvenousacademy.org\/zh\/tag\/hemodynamics\/\" rel=\"tag\">Hemodynamics<\/a> <a href=\"https:\/\/asianvenousacademy.org\/zh\/tag\/varicose-veins\/\" rel=\"tag\">Varicose Veins<\/a> <a href=\"https:\/\/asianvenousacademy.org\/zh\/tag\/venous-disease\/\" rel=\"tag\">Venous Disease<\/a><\/div>\t<\/div><\/div>    <div class=\"stm_post_comments\">\n            <\/div>\n<\/div><\/div><\/div><div class=\"wpb_column vc_column_container vc_col-sm-3 vc_hidden-sm vc_hidden-xs\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\">\n<div 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alt=\"{&quot;ARInfo&quot;:{&quot;IsUseAR&quot;:false},&quot;Version&quot;:&quot;1.0.0&quot;,&quot;MakeupInfo&quot;:{&quot;IsUseMakeup&quot;:false},&quot;FaceliftInfo&quot;:{&quot;IsChangeEyeLift&quot;:false,&quot;IsChangeFacelift&quot;:false,&quot;IsChangePostureLift&quot;:false,&quot;IsChangeNose&quot;:false,&quot;IsChangeFaceChin&quot;:false,&quot;IsChangeMouth&quot;:false,&quot;IsChangeThinFace&quot;:false},&quot;BeautyInfo&quot;:{&quot;SwitchMedicatedAcne&quot;:false,&quot;IsAIBeauty&quot;:false,&quot;IsBrightEyes&quot;:false,&quot;IsSharpen&quot;:false,&quot;IsOldBeauty&quot;:false,&quot;IsReduceBlackEyes&quot;:false},&quot;HandlerInfo&quot;:{&quot;AppName&quot;:2},&quot;FilterInfo&quot;:{&quot;IsUseFilter&quot;:false}}\" title=\"Pic2\" \/><\/a><\/li><\/ul><\/div>\n\t\t<\/div> \n\t<\/div> <div class=\"vc_wp_text wpb_content_element\"><aside class=\"widget widget_text\"><h5 class=\"widget_title\">Advancing Hemodynamic Innovation<\/h5>\t\t\t<div class=\"textwidget\"><p><strong>Bridging the gap between pioneering theory and clinical mastery.<\/strong><\/p>\n<p>Asian Venous Academy serves as the premier hub for hemodynamic education in Asia. By integrating traditional wisdom with modern innovations\u2014such as AI-assisted diagnostics and functional preservation surgery\u2014we empower clinicians to deliver precise, science-based treatments for venous diseases.<\/p>\n<\/div>\n\t\t<\/aside><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\"><\/div><\/div><\/div><\/div>\n<\/div>    \n<\/div><\/div><\/div><\/div><\/div><div data-vc-full-width=\"true\" data-vc-full-width-temp=\"true\" data-vc-full-width-init=\"false\" class=\"vc_row wpb_row vc_row-fluid third_bg_color vc_custom_1459505959648\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\">\n<section class=\"vc_cta3-container\" >\n    <div class=\"vc_general vc_cta3 third_bg_color vc_cta3-style-flat vc_cta3-shape-square vc_cta3-align-left vc_cta3-color-classic vc_cta3-icon-size-md vc_cta3-actions-right vc_custom_1768829984189 style=\"\"\">\n                        <div class=\"vc_cta3_content-container\">\n                                    <div class=\"vc_cta3-content\">\n                <header class=\"vc_cta3-content-header\">\n                    <div class=\"vc_custom_heading text_align_left\" ><h2 style=\"font-size: 20px;color: #ffffff;line-height: 24px;text-align: left\" class=\"consulting-custom-title\">Interested in academic collaboration with AVA?<\/h2><\/div>                                    <\/header>\n                            <\/div>\n                        <div class=\"vc_cta3-actions\"><div class=\"vc_btn3-container vc_btn3-right vc_do_btn\" ><a class=\"vc_general vc_btn3 vc_btn3-size-md vc_btn3-shape-rounded vc_btn3-style-flat vc_btn3-icon-right vc_btn3-color-theme_style_2\" href=\"#\" title=\"\">Contact the Academy <i class=\"vc_btn3-icon stm-location\"><\/i><\/a><\/div><\/div>        <\/div>\n                    <\/div>\n<\/section><\/div><\/div><\/div><\/div><div class=\"vc_row-full-width vc_clearfix\"><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u8fd1\u671f\u767c\u8868\u65bc\u300a\u8840\u7ba1\u5916\u79d1\u5e74\u9451\u300b\uff082026\u5e742\u6708\uff09\u7684\u4e00\u9805\u7cfb\u7d71\u6027\u6587\u737b\u56de\u9867\u8207\u7d71\u5408\u5206\u6790\uff0c\u91dd\u5c0d\u57fa\u65bc\u8840\u6d41\u52d5\u529b\u5b78\u7684 CHIVA \u6280\u8853\uff0c\u8207\u50b3\u7d71\u7834\u58de\u6027\u6cbb\u7642\uff08\u5982\u975c\u8108\u525d\u9664\u8853\u53ca\u71b1\u6d88\u878d\u8853\uff08EVLA\/RFA\uff09\uff09\u76f8\u6bd4\uff0c\u8a55\u4f30\u5176\u7642\u6548\u3002 \u8a72\u7814\u7a76\u5206\u6790\u4e86\u4f86\u81ea11\u9805\u7814\u7a76\u53ca\u8d85\u904e13,000\u540d\u60a3\u8005\u7684\u6570\u636e\uff0c\u7d50\u679c\u986f\u793aCHIVA\u6280\u8853\u5728\u7dad\u6301\u540c\u7b49\u5fa9\u767c\u7387\u8207\u5b89\u5168\u6027\u7279\u5fb5\u7684\u540c\u6642\uff0c\u80fd\u986f\u8457\u964d\u4f4e\u96b1\u975c\u8108\u795e\u7d93\u640d\u50b7\u53ca\u8853\u5f8c\u7600\u6591\u7684\u98a8\u96aa\u3002 \u9019\u9805\u7814\u7a76\u9032\u4e00\u6b65\u978f\u56fa\u4e86 CHIVA \u4f5c\u70ba\u6cbb\u7642\u975c\u8108\u75be\u75c5\u4e4b\u512a\u8cea\u3001\u5fae\u5275\u66ff\u4ee3\u65b9\u6848\u7684\u5730\u4f4d\u3002<\/p>","protected":false},"author":1,"featured_media":7674,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[117],"tags":[129,128,118,131],"class_list":["post-7782","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-insights-news","tag-chiva","tag-hemodynamics","tag-varicose-veins","tag-venous-disease"],"_links":{"self":[{"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/posts\/7782","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/comments?post=7782"}],"version-history":[{"count":5,"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/posts\/7782\/revisions"}],"predecessor-version":[{"id":7957,"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/posts\/7782\/revisions\/7957"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/media\/7674"}],"wp:attachment":[{"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/media?parent=7782"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/categories?post=7782"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/asianvenousacademy.org\/zh\/wp-json\/wp\/v2\/tags?post=7782"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}