Quantifying the Degree Graduated Elastic Compression Stockings Enhance Venous Emptying

Lattimer, Christopher; Kalodiki, Evi; Kafeza, Marina; Azzam, M.; Geroulakos, George

doi:10.1016/j.ejvs.2013.10.020

Cited by 33 publications

(31 citation statements)

References 24 publications

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“…This pressure sensor is a convenient device which was used in several previous pressure measurements studies. 7,13,18 As a preliminary study, the accuracy, the linearity and the hysteresis of the sensors were tested. To achieve this, the sensor was placed at the bottom of a water column.…”

Section: Pressure Sensorsmentioning

confidence: 99%

Experimental Investigation of Pressure Applied on the Lower Leg by Elastic Compression Bandage

Chassagne

Martin²,

Badel³

et al. 2015

Ann Biomed Eng

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Compression therapy with stockings or bandages is the most common treatment for venous or lymphatic disorders. The objective of this study was to investigate the influence of bandage mechanical properties, application technique and subject morphology on the interface pressure, which is the key of this treatment. Bandage stretch and interface pressure measurements (between the bandage and the leg) were performed on 30 healthy subjects (15 men and 15 women) at two different heights on the lower leg and in two positions (supine and standing). Two bandages were applied with two application techniques by a single operator. The statistical analysis of the results revealed: no significant difference in pressure between men and women, except for the pressure variation between supine and standing positions; a very strong correlation between pressure and bandage mechanical properties (p < 0.00001) and between pressure and bandage overlapping (p < 0.00001); a significant pressure increase from supine to standing positions (p < 0.0001). Also, it showed that pressure tended to decrease when leg circumference increased. Overall, pressure applied by elastic compression bandages varies with subject morphology, bandage mechanical properties and application technique. A better knowledge of the impact of these parameters on the applied pressure may lead to a more effective treatment.

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Section: Pressure Sensorsmentioning

confidence: 99%

Experimental Investigation of Pressure Applied on the Lower Leg by Elastic Compression Bandage

Chassagne

Martin²,

Badel³

et al. 2015

Ann Biomed Eng

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“…Medical Compression Stockings (MCS) are considered as a mainstay in the treatment options for patients suffering from lower leg deep venous insufficiency 11 . They have been shown to be very effective in (i) preventing and managing Deep Venous Thrombosis (DVT) 6 , post-thrombotic syndrome 33 and ulcers of the leg 8 , (ii) improving abnormal venous return 19 and (iii) improving muscle calf pumping function 24 . Like other forms of mechanical treatments, MCS are generally 4 thought to act by reducing vein luminal diameter 9 and, thereby, preventing blood pooling or stasis 2 .…”

Section: Introductionmentioning

confidence: 99%

Prediction of the Biomechanical Effects of Compression Therapy on Deep Veins Using Finite Element Modelling

Rohan

Badel

Lun³

et al. 2014

Ann Biomed Eng

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Clinicians generally assume that Medical Compression Stockings (MCS) work by reducing vein luminal diameter and, in this way, help to prevent blood pooling. Conflicting results have been reported however in the case of lower leg deep veins which call into question this hypothesis. The purpose of this contribution is to study the biomechanical response of the main lower leg deep veins to elastic compression and muscle contraction with the objective of improving our current understanding of the mechanism by which MCS convey their benefits. The development of a finite-element model of a slice of the lower leg from MR images is detailed. Analysis of the finite-element model shows that the contribution of the MCS to the deep vein diameter reduction is rather small, and in fact negligible, compared to that of the contracting muscle (3 and 9% decrease in the vein cross-sectional area with a grade II compression stocking in the supine and standing positions respectively, while complete collapse was obtained at the end of muscle activation). A more accurate representation of the muscle activation is eventually proposed to study the effect of muscle contraction on a vein wall. The impact on the venous blood draining is discussed.

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“…Und dann stellt sich die Frage, ob die Korrektur der nicht-obstruktiven Komponenten des komplexen Erkrankungsbildes nicht weniger invasiv wäre als die Behandlung der Obstruktion [4]. Dies bedeutet die Verbesserung der Muskelpumpe mit Kompressionsstrümpfen [5]…”

Section: Allgemeine üBerlegungen Zur Obstruktion Tiefer Beinvenenunclassified

Welches ist der Stellenwert der Luft-Plethysmographie zur Diagnostik der Iliakal-Venen-Obstruktion?

Mendoza¹,

Lattimer

2019

Phlebologie

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ZusammenfassungDurch die Möglichkeit der Stenteinlage in iliakale Venen scheint die Behandlung der zentralen Obstruktion ein leichtes Unterfangen geworden zu sein. Allerdings bedingt diese Behandlung eine zumindest vorübergehende Antikoagulation – und der Stent wird lebenslang im Bein verbleiben. Und die Evaluation der Ergebnisse ist noch nicht gut etabliert. Auch die Indikationsstellung ist nicht immer objektivierbar gegeben, wenn man bedenkt, dass 25 % der Bevölkerung eine Stenose der linken V. iliaca von über 50 % aufweisen, auch wenn sie meist keine Symptome haben. Erschwerend kommt hinzu, dass die venöse chronische Insuffizienz als klinisches Syndrom (CVI) mehrere Ursachen haben kann, wie Varikose, Obstruktion oder Refluxe der tiefen Achse und die Behandlung eines einzelnen, anatomischen Befundes nicht unbedingt die Klinik nachhaltig verbessern muss. Die Luft-Plethysmographie (Air Plethysmography, APG) bietet in diesem Zusammenhang eine objektive, vom Untersucher und vom Patienten unabhängige Auswertungsmöglichkeit für die venöse Drainage und für die venöse Wiederauffüllzeit, die in jedem Fall vor einem Eingriff der zentralen Venen und zur Evaluation des Ergebnisses gefordert werden sollte.

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Quantifying the Degree Graduated Elastic Compression Stockings Enhance Venous Emptying

Abstract: This is the first study to quantify the venous return of below-knee GEC stockings. Assessments of stockings in augmenting venous return may be of use as a way of optimising compression for individual patients unresponsive to standard conservative treatment.

Cited by 33 publications

References 24 publications

Experimental Investigation of Pressure Applied on the Lower Leg by Elastic Compression Bandage

Experimental Investigation of Pressure Applied on the Lower Leg by Elastic Compression Bandage

Prediction of the Biomechanical Effects of Compression Therapy on Deep Veins Using Finite Element Modelling

Welches ist der Stellenwert der Luft-Plethysmographie zur Diagnostik der Iliakal-Venen-Obstruktion?

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