Compression with 23 mmHg or 35 mmHg stockings after saphenous catheter foam sclerotherapy and phlebectomy of varicose veins: A randomized controlled study

Cavezzi, Attilio; Mosti, Giovanni; Colucci, Roberto; Quinzi, Valentina; Bastiani, Luca; Urso, S

doi:10.1177/0268355518776127

Cited by 20 publications

(18 citation statements)

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“…Minor evidence suggested an improvement in quality of life and pain, with a reduction in terms of complication following a longer period of compression use 148. In 2019, a dose-effect was reported in post-operative compression, favouring 35 vs. 23 mmHg after longcatheter sclerotherapy 149. 5.…”

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Global guidelines trends and controversies in lower limb venous and lymphatic disease

et al. 2019

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Guidelines are fundamental in addressing everyday clinical indications and in reporting the current evidence-based data of related scientific investigations. At the same time, a spatial and temporal issue can limit their value. Indeed, variability in the recommendations can be found both among the same nation different scientific societies and among different nations/continents. On the other side, Garcia already published in 2014 data showing how, after three years in average, one out of five recommendations gets outdated (Martinez Garcia LM, Sanabria AJ, Garcia Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ 2014;186(16):1211–1219). The present document reports a narrative literature revision on the major international recommendations in lower limb venous and lymphatic disease management, focusing on the different countries’ guidelines, trends and controversies from all the continents, while identifying new evidence-based data potentially influencing future guidelines. World renowned experts’ opinions are also provided. The document has been written following the recorded round tables scientific discussions held at the vWINter international meeting (22–26 January 2019; Cortina d’Ampezzo, Italy) and the pre- and post-meeting literature search performed by the leading experts.

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Global guidelines trends and controversies in lower limb venous and lymphatic disease

et al. 2019

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“…Similarly, BIS may potentially detect tissue changes especially through REA assessment, though this application is still under scrutiny and possible new parameters, such as cell membrane capacitance, could help in this research. 12,13,17,18 BIS was found reproducible and comparable to other methods in different studies on LYM patients, 4,7,9,16 while in the latest years this technique is achieving greater acknowledgements in phlebology as well. 1,[18][19][20] Our personal experience, with BIS in patients with chronic venous disease, 19,20 seems to correlate CEAP C stages with REA and, more significantly, with RES.…”

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confidence: 69%

“…BIS was found reproducible and comparable to other methods in different studies on LYM patients, 4,7,9,16 while in the latest years this technique is achieving greater acknowledgements in phlebology as well. 1,18–20 Our personal experience, with BIS in patients with chronic venous disease, 19,20 seems to correlate CEAP C stages with REA and, more significantly, with RES. Similarly, in a randomized controlled trial on compression stockings after varicose vein treatment, BIS proved of help in the quantification of post-operative tissue sequelae and edema.…”

Section: Discussionmentioning

confidence: 97%

“…Similarly, in a randomized controlled trial on compression stockings after varicose vein treatment, BIS proved of help in the quantification of postoperative tissue sequelae and edema. 18 Many more indications to BIS have been documented in medical practice, [21][22][23] such as in nutrition, oncology, aging science, just to name a few. Phase angle is undoubtedly another interesting BIS parameter which is taken into consideration in these fields; it is defined as the ratio of RES to REA and it is expressed (and graphically representable) as an angle of the resulting vector of impedance.…”

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confidence: 99%

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confidence: 99%

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Bioimpedance spectroscopy and volumetry in the immediate/short-term monitoring of intensive complex decongestive treatment of lymphedema

Cavezzi

Urso²,

Paccasassi

et al. 2020

Phlebology

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Aims To assess (a) immediate/short-term outcomes of intensive complex decongestive treatment of lower limb lymphedema, by means of bioimpedance spectroscopy and tape measurement-based volumetry, and (b) correlation between these two methods. Patients and methods Cohort study on patients affected by unilateral primary or secondary lymphedema, stage II or III. Patients underwent complex decongestive treatment (manual and electro-sound lymphatic drainage, compression bandage, exercises, low-carb nutrition, and dietary supplements) for six days. Before (D0), three and six days after complex decongestive treatment (D3 and D6), volumetry and bioimpedance spectroscopy data of the total limb and lower leg were collected. Statistical analysis was applied to pre–post treatment outcomes and to the volumetry/bioimpedance spectroscopy correlation. Results Forty-one patients (15 males and 26 females, mean age: 50.7 years) were included. A progressive improvement of volumetry and bioimpedance spectroscopy figures was recorded. Total limb and leg volumetry (mean value in cc) was, respectively, 11,072.9 and 3150.8 at D0, 10,493 (−5.2%, p = 0.001) and 2980.2 (−5.4%, p < 0.001) at D6. Total limb lymphatic index at D0 and D6 was 18.9 and 14.8 (−21.5%, p < 0.001). Total limb resistance at D0, D3, and D6 was 200.4, 225.7, and 237.5 (+18.5%, p < 0.001), respectively; leg resistance at D0 and D6 was 117.5 and 150 (+27.7%, p < 0.001), respectively. Total limb reactance at D0, D3, and D6 was 12.2, 15, and 16.6 (+35.5%, p < 0.001), respectively. Leg reactance at D0 and D6 was 7.7 and 11.5 (+ 49.6%, p < 0001), respectively. Correlation volumetry/bioimpedance spectroscopy data were (a) total limb volumetry/resistance rho = −0.449, p < 0.01; volumetry/reactance rho=−0.466, p < 0.01; volumetry/lymphatic index rho = 0.581, p < 0.01; (b) leg volumetry/resistance rho=−0.579, p < 0.01; volumetry/reactance rho=−0.469, p < 0.01; volumetry/lymphatic index rho = 0.466, p < 0.05. Conclusions Complex decongestive treatment on lymphedematous limbs was effective at short term; both volumetry and bioimpedance spectroscopy showed a statistically significant improvement. Resistance and reactance increase, with lymphatic index decrease, correlated with volumetry decrease. Bioimpedance spectroscopy proved to help to assess fluid decrease and the tissue-related parameters variations.

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Dermatological Surgery

Nouri¹,

Rajabi‐Estarabadi²,

Zheng³

et al. 2020

Atlas of Dermatology, Dermatopathology and Venereology

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Compression with 23 mmHg or 35 mmHg stockings after saphenous catheter foam sclerotherapy and phlebectomy of varicose veins: A randomized controlled study

Cited by 20 publications

References 33 publications

Global guidelines trends and controversies in lower limb venous and lymphatic disease

Global guidelines trends and controversies in lower limb venous and lymphatic disease

Bioimpedance spectroscopy and volumetry in the immediate/short-term monitoring of intensive complex decongestive treatment of lymphedema

Dermatological Surgery

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