Compression stockings significantly improve hemodynamic performance in post-thrombotic syndrome irrespective of class or length

摘要: Background Graduated elastic compression (GEC) stockings have been demonstrated to reduce the morbidity associated with post-thrombotic syndrome. The ideal length or strength required achieve this is speculative and related physician preference patient compliance. aim of study was evaluate hemodynamic performance four different determine patient's preference. Methods Thirty-four consecutive patients (40 legs, 34 male) syndrome were tested (Mediven plus open toe, Bayreuth, Germany) their size in random order: class 1 (18-21 mm Hg) II (23-32 Hg), below-knee (BK) above-knee thigh-length (AK). median age, Venous Clinical Severity Score, Segmental Disease Villalta scale 62 years (range, 31-81 years), 8 1-21), 5 2-10), 10 2-22), respectively. C 0-6 E s A s,d,p P r,o 0  = 2, 2 1, 3 3, 4a 12, 4b 7, 6 3. Obstruction reflux observed on duplex 47.5% deep venous alone 45%. Air plethysmography used measure filling index (VFI), volume, time fill 90% volume. Direct pressure measurements obtained while lying standing using PicoPress device (Microlab Elettronica, Nicolo, Italy). sensor placed underneath test stocking cm above posterior medial malleolus. At end session, stated preferred based comfort. Results VFI, volume improved significantly all types versus no compression. In I, VFI (mL/s) from a 4.9 1.7-16.3) without 3.7 0-14) BK (24.5%) 3.6 0.6-14.5) AK (26.5%). With II, corresponding improvement 4.0 0.3-16.2) (18.8%) 0.5-14.2) (24.5%). Median (mm as measured I 23 12-33) 27 19-39) ( r .237; .005. Twenty-one (legs) changed 38% these (8/21 patients, 9/21 legs) an AK-GEC stocking. Conclusions Compression parameters air plethysmography. However, benefit did not change These results support liberal selection GEC