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elastic bandages dvt

Diebrecht Appelen, Eva van Loo, Martin H Prins, Martino Ham Neumann, Dinanda N Kolbach
BACKGROUND: Post-thrombotic syndrome (PTS) is a long-term complication of deep vein thrombosis (DVT) that is characterised by chronic pain, swelling, and skin changes in the affected limb. One of every three people with DVT will develop post-thrombotic complications within five years. Several non-pharmaceutical measures are used for prevention of post-thrombotic syndrome during the acute phase of DVT. These include elevation of the legs and compression therapy. Clinicians and guidelines differ in their assessment of the utility of compression therapy for treatment of DVT...
September 26, 2017: Cochrane Database of Systematic Reviews
O V Bukina, V V Golovlev
UNLABELLED: The necessity of preventing venous thromboembolic complications in patients after endured surgical interventions for varicose disease remains a debatable problem. The study was aimed at assessing the incidence of deep vein thrombosis after phlebectomy and determining its clinical significance. MATERIAL AND METHODS: The authors carried out a prospective cohort study comprising a total of 86 patients (73 women and 13 men, aged from 16 to 64 years, the mean age 39...
2015: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
A M Zudin, M A Zasorina, T A Vikhert, A K Gonsales, a A Tarkovskiĭ
OBJECTIVE: The study was aimed at using ultrasound duplex scanning for determining the sequence and terms of formation of venous haemodynamics impairments in the affected lower extremity in patients after endured acute thrombosis of deep veins and assessing the effect of phlebotonic drugs on the course of these processes. MATERIAL AND METHODS: We examined and treated a total of 66 patients presenting with newly onset acute thrombosis of deep veins of lower limbs without concomitant varicose disease...
2014: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
M J Baldwin, H M Moore, N Rudarakanchana, M Gohel, A H Davies
Up to half of patients with proximal deep vein thrombosis (DVT) will develop post-thrombotic syndrome (PTS) despite optimal anticoagulant therapy. PTS significantly impacts upon quality of life and has major health-economic implications. This narrative review describes the pathophysiology, risk factors, and diagnosis, prevention and treatment of PTS, to improve our understanding of the disease and guide treatment. Relevant articles were identified through systematic searches of the PubMed, EMBASE and Cochrane databases between 1966 and November 2011...
May 2013: Journal of Thrombosis and Haemostasis: JTH
P Ouvry, A-C Arnoult, C Genty, J-P Galanaud, J-L Bosson
BACKGROUND: Compression therapy constitutes the cornerstone of prevention of post-thrombotic syndrome in patients with deep-vein thrombosis (DVT). However, no consensus has been reached regarding the optimal timing for initiation, duration, and strength of compression therapy. OBJECTIVE: To document prescribing practices of compression therapy in case of DVT by French Vascular Medicine physicians. METHODS: E-mail survey sent in 2009 to all physicians members of the French Society of Vascular Medicine...
June 2012: Journal des Maladies Vasculaires
Ji Won Kim, Jae Woong Han, So Young Jung, Man Sup Lim, Jae Pil Jung, Ji Woong Cho
PURPOSE: Varicose vein incompetence in the legs is very prevalent in the Korean population. New technologies and improvements in established methods have changed the treatment of varicose veins. Transilluminated powered phlebectomy is an alternative surgical technique that combines endoscopic powered vein resection and ablation of superficial varicosities with tumescent anesthesia and irrigated illumination. The present study sought to determine the clinical efficacy and safety of transilluminated powered phlebectomy from clinical data...
January 2013: Surgery Today
Karine Lacut
Mechanical devices for the prevention of venous thromboembolism (VTE) act on venous stasis and include static systems: the graduated compression stockings (or elastic stockings or anti-embolism stockings) and dynamical systems: intermittent pneumatic compression and venous foot pump. The main advantage of these devices is that they have no risk of bleeding. If the prevention of VTE is based primarily on drug prophylaxis, mechanical devices are recommended primarily for patients with high risk of bleeding, if there is contraindication to anticoagulants...
November 2011: La Revue du Praticien
Mehmet Kurtoglu, Cuneyt Koksoy, Ekim Hasan, Yigit Akcalı, Ozalp Karabay, Ugur Filizcan
OBJECTIVE: The present study was designed to evaluate the long-term efficacy and safety of once-daily enoxaparin plus warfarin for the outpatient ambulatory treatment of lower-limb deep venous thrombosis (DVT). METHODS: A total of 246 patients, comprising 128 men (mean age, 54.28±16.48 years) and 118 women (mean age, 50.11±16.47 years) with symptomatic lower extremity DVT, were included in this open-label, single-arm, multicenter, phase IV clinical trial conducted at 14 centers in Turkey...
November 2010: Journal of Vascular Surgery
A Raţiu, A Motoc, D Păscuţ, D C Crişan, T Anca, Magda Păscuţ
UNLABELLED: The purpose was to evaluate the benefits of compression and early mobilization in comparison with compression and bed rest in the acute stage of proximal deep venous thrombosis (DVT) in pregnant women. METHOD: Thirty-two consecutive pregnant women with proximal DVT diagnosed by color duplex ultrasound were divided into two groups. Group A consisted of 15 patients who received elastic compression bandages and early mobilization, and group B including 17 patients with compression bandages and bed rest...
July 2009: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
Nobuhiko Sugano, Hidenobu Miki, Nobuo Nakamura, Masaharu Aihara, Kengo Yamamoto, Kenji Ohzono
To evaluate the clinical efficacy of mechanical thromboprophylaxis after elective hip surgery, we reviewed 3016 patients who underwent hip surgery at 5 centers. Primary total hip arthroplasty (THA), revision THA, and pelvic or femoral osteotomies were performed in 2648, 298, and 70 patients, respectively. Epidural anesthesia, intraoperative calf bandage, early mobilization, and intermittent pneumatic compression postoperatively with additional use of elastic stockings were the basic regimen for thromboprophylaxis...
December 2009: Journal of Arthroplasty
Jason T Lee, Maziyar A Kalani
Superficial venous thrombophlebitis (SVT) is characterized as a localized inflammatory condition of the venous vessels underlying the skin. It arises from thrombosis of a superficial vein, and clinical presentation usually involves pain, erythema, and tenderness at the sites of inflammation. Although the condition is usually self-limited and not serious or fatal, symptomatic superficial thrombophlebitis can be debilitating, limit movement and certain capabilities, or progress to involve the deep venous system and cause pulmonary embolism...
September 2008: Journal of the National Comprehensive Cancer Network: JNCCN
H Partsch, M Flour, P Coleridge Smith
AIM: The aim of this study was to review published literature concerning the use of compression treatments in the management of venous and lymphatic diseases and establish where reliable evidence exists to justify the use of medical compression and where further research is required to address areas of uncertainty. METHODS: The authors searched medical literature databases and reviewed their own collections of papers, monographs and books for papers providing information about the effects of compression and randomized clinical trials of compression devices...
June 2008: International Angiology: a Journal of the International Union of Angiology
E M Roumen-Klappe, M den Heijer, J van Rossum, H Wollersheim, C van der Vleuten, Th Thien, M C H Janssen
OBJECTIVE: The purpose of this randomized study was to evaluate the influence of immediate multilayer compression bandages before application of elastic stockings in the acute phase of deep-vein thrombosis (DVT) on development of the post-thrombotic syndrome (PTS). METHODS: Sixty-nine patients with acute symptomatic DVT were randomized to immediate bandaging (n = 34) or no bandaging (n = 35). After reduction of edema sized-to-fit elastic stockings were applied in all patients after 7-14 days...
May 2009: Journal of Thrombosis and Thrombolysis
Steven P Downie, David N Firmin, Nigel B Wood, Simon A Thom, Alun D Hughes, John N H Wolfe, X Yun Xu
PURPOSE: To evaluate the potential of MRI to investigate the mechanical effects of compression stockings on the veins of the lower limb. MATERIALS AND METHODS: The right calves of eight healthy volunteers were imaged in the prone position, with and without the presence of a compression stocking. Cross-sectional areas of all peroneal and posterior tibial veins, both saphenous veins, and any sufficiently large superficial veins were segmented in all subjects at mid-calf level in both cases...
July 2007: Journal of Magnetic Resonance Imaging: JMRI
Stavros K Kakkos, Stella S Daskalopoulou, Marios E Daskalopoulos, Andrew N Nicolaides, George Geroulakos
Graduated elastic compression stockings (GECS) are commonly used in the primary prevention of deep vein thrombosis (DVT); however, their role in preventing recurrent DVT and also post-thrombotic syndrome is less well established. The aim of this review was to investigate the effect of GECS after DVT. A literature search was performed by two independent searchers in order to identify randomised controlled trials on the effect of GECS in preventing recurrent DVT and post-thrombotic syndrome. Four randomised trials, including 537 patients, were identified...
October 2006: Thrombosis and Haemostasis
Jean Luc Gillet, Michel R Perrin, François André Allaert
BACKGROUND: The objective of this study was to evaluate the prevalence and profile of patients presenting with chronic venous insufficiency (class C3-C6) and cascading deep venous reflux involving femoral, popliteal, and crural veins to the ankle. METHODS: From September 2001 to April 2004, 2,894 patients were referred to our center for possible venous disorders. The superficial, deep, and perforator veins of both legs were investigated with color duplex scanning...
September 2006: Journal of Vascular Surgery
L A Williams, T D Owen
INTRODUCTION: Graduated compression stockings are frequently used following arthroplasty surgery for deep vein thrombosis (DVT) prophylaxis. There are often strongly held beliefs regarding whether below-knee or above-knee stockings should be used in total knee joint replacement. Many surgeons argue that below-knee stockings are more likely to induce wound complications because of increased swelling above the stocking and the elastic causing localised pressure on the wound. PATIENTS AND METHODS: This study is a prospective comparison of above and below-knee stockings in patients undergoing total knee joint replacement...
May 2006: Annals of the Royal College of Surgeons of England
Yoshihiko Kishi, Chungjin Yang, Yoko Ebina, Fumitake Senzaki, Azusa Iwai, Shunji Sonoda, Takeshi Iritakenishi, Michioki Kuri, Noriko Kambara, Hironobu Tanigami
BACKGROUND: The incidence of perioperative pulmonary thromboembolism (PTE) has increased in Japan. As the mortality rate of PE is very high, its prophylaxis is important. METHODS: From January 1998 to December 1999 no prophylactic strategies were employed. From May 2000 to December 2004, elastic stockings (ES) for prevention of perioperative deep vein thrombosis were worn from the morning of the operation until the beginning of ambulation. Intermittent pneumatic compression (IPC) apparatuses were used in combination with ES right after the induction of anesthesia until leaving ICU...
April 2006: Masui. the Japanese Journal of Anesthesiology
K Lacut, L Bressollette, G Le Gal, E Etienne, A De Tinteniac, A Renault, F Rouhart, G Besson, J-F Garcia, D Mottier, E Oger
OBJECTIVE: To assess intermittent pneumatic compression (IPC) in the prevention of venous thromboembolism (VTE). METHODS: The authors randomly allocated patients with a documented intracerebral hemorrhage (ICH) to elastic stockings (ES) alone or combined with IPC. The primary outcome was a combined criteria assessed at day 10: a symptomatic and well-documented VTE, or a death arising before day 10 and related to pulmonary embolism (PE), or an asymptomatic deep vein thrombosis (DVT) of the lower limbs detected by compression ultrasonography (CUS)...
September 27, 2005: Neurology
Karen P L Yap, David R McCready
Oncology patients are at increased risk of developing deep vein thrombosis (DVT) and its potentially fatal sequel, pulmonary embolism. This is due to multiple factors, including the presence of the malignancy itself, comorbid factors and therapy-related interventions. Issues that are peculiar to venous thrombosis in the oncology setting are discussed, based on a MEDLINE search of the English literature. These include the need to screen for malignancy in idiopathic DVT, a high index of suspicion for venous thrombosis in the cancer patient, the use of vena cava filters, and the anti-neoplastic effects of heparin...
July 2004: Asian Journal of Surgery
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