Compression therapy in venous diseases: physical assumptions and clinical effects

Andrzej Berszakiewicz, Aleksander Sieroń, Zbigniew Krasiński, Armand Cholewka, Agata Stanek, Andrzej Berszakiewicz, Aleksander Sieroń, Zbigniew Krasiński, Armand Cholewka, Agata Stanek

Abstract

Compression therapy (CT) is an established treatment method in chronic venous disease. Despite years of clinical experience, choosing the optimum compression therapy, including grade and pressure distribution, which determine the efficacy of treatment poses a challenge. The paper discusses CT physical assumptions (stiffness, elasticity, static and dynamic stiffness indices), clinical effects and contraindications to CT.

Keywords: chronic venous disease; compression therapy; interface pressure; stiffness.

Conflict of interest statement

The authors declare no conflict of interest.

Copyright: © 2019 Termedia Sp. z o. o.

References

    1. Mallik R, Raju A, Campbell C, et al. Treatment patterns and outcomes in patients with varicose veins. Am Health Drug Benefits. 2016;9:455–65.
    1. Partsch H, Flour M, Coleridge Smith P, et al. Indications for compression therapy in venous and lymphatic disease. Consensus based on experimental data and scientific evidence. Int Angiol. 2008;27:193–219.
    1. Bergan JJ, Schmid-Schonbein GW, Smith PD, et al. Chronic venous disease. N Engl J Med. 2006;355:488–98.
    1. Purwins S, Herberger K, Debus ES, et al. Cost-of-illness of chronic leg ulcers in Germany. Int Wound J. 2010;7:97–102.
    1. Schul MW, King T, Kabnick LS. Inequalities of health insurance guidelines for the treatment of symptomatic varicose veins. Phlebology. 2014;29:236–46.
    1. Hutchinson J. Innovation in compression: smart bandage technology to improve bandage application and monitoring. Veins Lymph. 2017;6:6631.
    1. Partsch H. Compression therapy: clinical and experimental evidence. Ann Vasc Dis. 2012;5:416–22.
    1. Srivasta A, Sood A, Joy PS, et al. Principles of physics in surgery: the laws of mechanics and vectors physics for surgeons-part 2. Indian J Surg. 2010;72:355–61.
    1. Moffatt C, Hugo Partsch H, et al. Compression therapy: a position document on compression bandaging. Int Lymph Fram J. 2012:12–23.
    1. Partsch H, Mosti G, Schuren J, Begnini JP. The Static Stiffness Index: an important parameter to characterize compression therapy in vivo. J Wound Care. 2016;25:4–10.
    1. Partsch H, Partsch B, Braun W. Interface pressure and stiffness of ready made compression stockings: Comparison of in vivo and in vitro measurements. J Vasc Surgery. 2006;44:809–14.
    1. Neumann HA, Partsch H, Mosti G, Flour M. Classification of compression stockings. Raport of the meeting of the International Compression Club. Int Angiol. 2016;35:122–8.
    1. Partsch H. The use of pressure change on standing a surrogate measure of the stiffness of a compression bandage. Eur J Vasc Endovasc Surg. 2005;30:415–21.
    1. Moffat C, Partsch H, Clark M, et al. Understanding compression therapy. Position document of the EWMA. London, UK: MEP LTD; 2003.
    1. Hafner J, Ramelet AA, Schmeller W, Brunner UV. Managements of leg ulcers. Curr Probl Dermatol. 1999;27:130–40.
    1. MacGregor L, Partsch H, Mortimer P, et al. Template for practice: compression hosiery in lymphoedema. London, UK: MEP LTD; 2006. Lymphoedema Framework; pp. 1–4.
    1. Kocelj Leskovec N, Pavlović MD, Lunder T. A short review of diagnosis and compression therapy of chronic venous insufficiency. Acta Dermatoven APA. 2008;17:17–21.
    1. Mosti G, Partsch H. Inelastic bandages maintain their hemodynamic effectiveness over time despite significant pressure loss. J Vasc Surg. 2010;52:25–31.
    1. Mosti G, Partsch H. A new two compartment compression system turning an elastic bandage into an inelastic compression device: interface pressure, stiffness, and hemodynamic effectiveness. Eur J Vasc Endovasc Surg. 2018;55:122–31.
    1. Mosti G, Mattaliano V, Partsch H. Inelastic compression increases venous ejection fraction more than elastic bandages in patients with superficial venous reflux. Phlebology. 2008;23:287–94.
    1. Rabe E, Partsch H, Junger M, et al. Guidelines for clinical studies with compression devices in patients with venous disorders of lower limb. Eur J Vasc Endovasc Surg. 2008;35:494–500.
    1. Chi YW. A new compression pressure measuring device. Veins Lymph. 2017;6:6636.
    1. Rabe E, Partsch H, Hafner J, et al. Indication for medical compression stockings in venous and lymphatic disorders: an evidence- based consensus statement. Phlebology. 2018;33:163–84.
    1. Mosti G, Iabichella ML, Partsch H. Compression therapy in mixed ulcers increases venous output and arterial perfusion. J Vasc Surg. 2012;55:122–8.
    1. Mosti G, Partsch H. Bandages or double stockings for the initial therapy of venous oedema? A randomized, controlled pilot study. Eur J Vasc Endovasc Surg. 2013;44:142–8.
    1. Damm J, Lundh T, Partsch H, Mosti G. An innovative compression system providing low, sustained resting pressure and high, efficient working pressure. Veins Lymph. 2017;6:6627.
    1. Lee AJ, Dale JJ, Ruckley CV, et al. Compression therapy: effects of posture and application techniques on initial pressures delivered by bandages of different physical properties. Eur J Vasc Endovasc Surg. 2006;31:542–52.
    1. Partsch B, Partsch H. Compression therapy. In: Catatalo M, Pecsvarady Z, Olinic D, et al., editors. VAS European Book on Angiology/Vascular Medicine. Rome: Aracne; 2018. pp. 687–99.
    1. Kakkos SK, Szendro G, Griffin M, et al. Improved hemodynamic effectiveness and associated clinical correlations of a new intermittent pneumatic compression system in patients with chronic venous insufficiency. J Vasc Surg. 2001;33:915–22.
    1. Yamany A, Hamdy B. Effects of sequential pneumatic compression therapy on venous blood velocity, refilling time, pain and quality of life in women with varicose veins: a randomized controlled study. J Phys Ther Sci. 2016;28:1981–7.
    1. Berliner E, Ozbilgin B, Zarin DA. A systematic review of pneumatic compression for treatment of chronic venous insufficiency and venous ulcers. J Vasc Surg. 2003;37:539–44.
    1. Mosti G, Cavezzi A, Partsch H, et al. Adjustable Velcro compression devices are more effective than inelastic bandages in reducing venous edema in the initial treatment phase: a randomized controlled trial. Eur J Vasc Endovasc Surg. 2015;50:368–74.
    1. Caprini J. A Commentary on Adjustable Velcro compression devices are more effective than inelastic bandages in reducing venous edema in the initial treatment phase: a randomized controlled trial. Eur J Vasc Endovasc Surg. 2015;50:375.
    1. Mumphreeys ML, Stewart AH, Gohel MS, et al. Management of mixed arterial and venous leg ulcers. Br J Surg. 2007;94:1104–7.
    1. Beidler SK, Douillet DC, Berndt DF, et al. Inflammatory cytokine levels in chronic venous insufficiency ulcer tissue before and after compression therapy. J Vasc Surg. 2009;49:1013–20.
    1. Koo KH, Choi JS, Ahn JH, et al. Comparison of clinical and physiological efficacies of different intermittent sequential pneumatic compression devices in preventing deep vein thrombosis: a prospective randomized study. Clin Orthop Surg. 2014;6:468–75.
    1. Kucukguven A, Khalil RA. Matrix metalloproteinases as potential targets in the venous dilation associated with varicose veins. Curr Drug Targets. 2013;14:287–24.

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