Document Detail


Duplex scanning to evaluate the effect of compression on venous reflux.
MedLine Citation:
PMID:  20924344     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The aim of this study was to demonstrate the usefulness of Duplex in measuring venous reflux and changes in reflux caused by leg compression.
METHODS: Twelve patients with severe incompetence of the great saphenous vein (GSV) were investigated. A special Duplex probe was fixed by tapes on the mid-thigh portion of the incompetent GSV and reflux elicited by tip toeing was measured. Elastic and inelastic compression material with an interface supine pressure around 20, 40 and 60 mmHg was applied on the lower leg and the reflux measurement was repeated.
RESULTS: Increasing compression of the leg led to a progressive reduction of the reflux in the GSV. Ultimately reflux was completely abolished by inelastic compression with a median pressure of 86 mm Hg in the standing position. Elastic material exerting this pressure can achieve similar results but is not tolerated by patients.
CONCLUSION: Duplex is able to demonstrate a reduction of GSV reflux caused by compression of the lower leg, which explains one major beneficial effect of compression on the disturbed haemodynamics in venous incompetence.
Authors:
G Mosti; H Partsch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  29     ISSN:  1827-1839     ISO Abbreviation:  Int Angiol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-06     Completed Date:  2011-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  416-20     Citation Subset:  IM    
Affiliation:
Department of Angiology, Barbantini Hospital, Lucca, Italy. jmosti@tin.it
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MeSH Terms
Descriptor/Qualifier:
Compression Bandages*
Hemodynamics
Humans
Lower Extremity / blood supply*
Posture
Predictive Value of Tests
Pressure
Saphenous Vein / physiopathology,  ultrasonography*
Severity of Illness Index
Treatment Outcome
Ultrasonography, Doppler, Duplex*
Venous Insufficiency / physiopathology,  therapy*,  ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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