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Making Chiva Strategies with POCUS for the Treatment of Varicose Veins

June 4, 2026

This presentation by Dr. Smile, of the Dr. Smile Medical Group in China, gives an overview of how he has applied CHIVA technology to treat lower extremity varicose veins. A key part of this is the use of ultrasound hemodynamic assessments to develop treatment plans. This approach reduces venous pressure by recorrecting reflux and preserving an intact venous network.

The veins in the lower extremities are examined by the doctor using an ultrasound device in office. The inspection contents include whether the deep and superficial veins are patency, whether there is valvular regurgitation and the location of the escaping points and re-entry points.

Patients with varicose veins undergo outpatient treatment under local anesthesia. Dr. Smile Medical Group has established venous disease centers in 13 cities in China with the same standards and procedures, providing for safer and more efficient minimally invasive treatment for thousands of varicose vein patients every year.

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