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High tolerance of progressive elastic compression in peripheral arterial disease
- Source :
- Vasa. 48:413-417
- Publication Year :
- 2019
- Publisher :
- Hogrefe Publishing Group, 2019.
-
Abstract
- Summary. Background: Theoretically progressive compression stockings, which produce a higher compression at the calf than at the ankle level, improve venous return flow without exacerbating peripheral arterial insufficiency (PAD). We aimed to evaluate the short-term tolerance of elastic progressive compression stockings on peripheral arterial vascularisation in patients with symptomatic PAD and associated mild venous insufficiency. Patients and methods: Monocentric, prospective, open pilot study of 18 patients (acceptability study, 6 x 6 plan) evaluating the short-term tolerance of progressive compression stockings (18 ± 2 mmHg at calf and 8 ± 2 mmHg at ankle level) in patients with PAD (ankle brachial index ABI > 0.60 15 % of ABI on each side, no decrease > 15 % of toe brachial index (TBI) on each side and no decrease > 25 % of the number of active plantar flexions performed while standing. Results: The proportion of men was 77.8 %, mean age was 77.3 ± 7.5 years and no patient were diabetic. At inclusion, the mean low ABI was 0.60 ± 0.04 and the mean high ABI was 0.77 ± 0.18. The mean low TBI was 0.32 ± 0.09 and the mean high TBI 0.46 ± 0.15. The mean number of active standing plantar flexions was 33.0 ± 5.0. The majority of the patients were classified in CEAP C2s and C3 classes (class 2: 16.7 %, class C2s: 27.8 %, class C3: 44.4 %, class C4: 5.6 % and class C4s: 5.6 %). Poor tolerance occurred in no patient. By day 30, no patient had worsening of their arterial and venous symptoms. No adverse events occurred during the study. Conclusions: These results suggest a high tolerance of progressive elastic stockings (18 ± 2 mmHg at calf and 8 ± 2 mmHg at ankle level) in symptomatic PAD.
- Subjects :
- Male
medicine.medical_specialty
Elastic compression
Arterial disease
medicine.medical_treatment
Pilot Projects
Compression stockings
030204 cardiovascular system & hematology
Peripheral Arterial Disease
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Humans
Prospective Studies
Aged
Aged, 80 and over
business.industry
Compression (physics)
Peripheral
medicine.anatomical_structure
Venous Insufficiency
Cardiology
Female
Ankle
Cardiology and Cardiovascular Medicine
business
Stockings, Compression
Venous return curve
Subjects
Details
- ISSN :
- 16642872 and 03011526
- Volume :
- 48
- Database :
- OpenAIRE
- Journal :
- Vasa
- Accession number :
- edsair.doi.dedup.....129acb81a277d5fd1b46fb3a2b8350b1