The Haemodynamic Efficacy of Six Different Compression Stockings from Compression Class 2 in Patients Suffering from Chronic Venous Insufficiency

2000 ◽  
Vol 15 (3-4) ◽  
pp. 126-130 ◽  
Author(s):  
H. M. Häfner ◽  
M. Jünger
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Acute Effect ◽  
Maximum Pressure ◽  
Compression Stockings ◽  
Textile Technology ◽  
Resting Pressure ◽  
Venous Function ◽  
University Department

Objective: To describe the efficacy of six different compression stockings from compression class 2 on venous haemodynamics in patients with chronic venous insufficiency (CVI). Design: An open, randomised, prospective study. Setting: University Department of Dermatology, Tübigen, Germany. Patients: Twenty-two patients (11 women, 11 men; mean age 55.1 years, SD 10.3 years) suffering from chronic venous insufficiency (CVI) at clinical stages C14EpAs, A14, Ap, PR. Interventions: The acute effect of six different compresion stockings from compression class 2 (CEN) on venous haemodynamics were measured using dynamic mercury strain gauge plethysmography. At the same time as venous function, the pressure exerted by the compression hosiery was determined under resting conditions and during exercise. Main outcome measures: Resting pressure exerted in the supine position was equivalent in all compression hosiery to the data defined in textile technology for compression class 2 (25–35 mmHg at the ankle). Compression hosiery produced a statistically significant improvement in venous refilling time t 0. The differing improvement in venous function could be explained by the quotient for maximum active pressure/resting pressure on standing (r = 0.98, p <0.01). Conclusion: Compression stockings from the same compression class possess differing acute effects on venous haemodynamics. The efficacy of the various compression devices derives to an exceptional degree from the elasticity of the material, and can be characterised in vivo by the ratio between maximum pressure exerted during exercise and the resting pressure on standing.

The ratio of working pressure to resting pressure under compression stockings: Its significance for the improvement of venous perfusion in the legs

Phlebologie ◽  
2001 ◽  
Vol 30 (04) ◽  
pp. 88-93 ◽  
Author(s):  
H. M. Häfner ◽  
E. Piche ◽  
M. Jünger
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Dynamic Strain ◽  
Compression Stocking ◽  
Compression Stockings ◽  
Working Pressure ◽  
Biophysical Parameter ◽  
Resting Pressure ◽  
Hemodynamic Improvement ◽  
Static Conditions

Summary Aim: A variety of medical compression products are available for the treatment of chronic venous insufficiency. Aim of this study was to quantify the acute effects of different compression class 2 (CCL2) stockings on venous hemodynamics. We examined the pressure exerted by the stockings as a biophysical parameter and tested for correlations between it and an improvement in venous hemodynamics. Methods: A total of 42 patients with chronic venous insufficiency in stages C1-4 Ep AS, A14, Ap, PR (CEAP classification) took part in the study. Venous hemodynamics were measured by dynamic strain-gauge plethysmography with and without a variety of different CCL2 compression stockings. At the same time, the pressure exerted by the stockings was measured under static conditions (resting pressure) and under dynamic conditions (working pressure). Results: Each of the CCL2 medical compression stockings tested here brought about a different degree of hemodynamic improvement. The amount by which venous refilling time was lengthened varied from one stocking to the next. Hemodynamic improvement was closely correlated with the ratio of working pressure to resting pressure exerted by the stockings (r = 0.90, p <0.001). Conclusion: The degree of hemodynamic improvement attained depended on the elasticity of the compression stocking, i.e. the ratio of maximum working pressure to resting pressure exerted by the stocking.

Biophysical characteristics of medical compression stockings

Phlebologie ◽  
2007 ◽  
Vol 36 (04) ◽  
pp. 197-204 ◽  
Author(s):  
A. Ströhn ◽  
H. M. Häfner ◽  
M. Jünger
Keyword(s):  
Clinical Stage ◽  
Significant Degree ◽  
Compression Stockings ◽  
Working Pressure ◽  
Resting Pressure ◽  
Venous Function ◽  
A Prospective Study ◽  
Mercury Strain Gauge

Summary Aim: Haemodynamic effectivity of 13 compression stockings in correlation with its physical characteristics. Patients, methods: In a prospective study, 42 patients in clinical stage C1–4 were examined with dynamic mercury strain gauge plethysmography to determine the effects of 13 different compression stockings in compression classes 2 and 3 (CEN) on venous haemodynamics. At the same time that venous function measurement was monitored, the pressure exerted by the compression stockings was measured under resting conditions and during standardized exercises by the patients. Results: Resting pressure measured while the patient was reclining corresponded to the in vitro textile data for the corresponding compression class in all of the stockings. The compression stockings improved venous refill times t0 and t1/2 to a statistically significant degree. The differences in the improvement in refill times t0 and t1/2 was found to depend on the quotient of maximum working pressure during movement over resting pressure (pW/pR) while standing (r = 0.90, p < 0.01 ). The improvement of the expelled volume correlated with decrease of resting pressure from ankle to calf (r = 0.86, p <0.01 ). Conclusion: Compression stockings that exert the same resting pressure at ankle level in reclining patients can still have different effects on venous haemodynamics. The haemodynamic effectivity of the various compression materials is determined above all by the degree of stiffness, which can be characterized in vivo as the ratio of maximum working pressure to resting pressure (pW/pR) while standing.

Association between heel-rise test performance and clinical severity of chronic venous insufficiency

2020 ◽  
Vol 35 (8) ◽  
pp. 631-636
Author(s):  
Danielle Aparecida Gomes Pereira ◽  
Sheyla Rossana Cavalcanti Furtado ◽  
Gisele Pereira de Oliveira Amâncio ◽  
Priscila Penasso Zuba ◽  
Cristiane Cenachi Coelho ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Venous Insufficiency ◽  
Test Performance ◽  
Repetition Rate ◽  
Venous Insufficiency ◽  
Clinical Severity ◽  
Inverse Association ◽  
Compression Stockings ◽  
Pump Performance ◽  
Muscular Pump

Background Peripheral pump dysfunction is important in identifying manifestations of chronic venous insufficiency. The association with disease severity may define better treatment strategies. Objective To evaluate the association between peripheral muscular pump performance by heel-rise test, age, physical activity, use of compression stockings, and chronic venous insufficiency clinical severity. Methods Subjects with chronic venous insufficiency were enrolled in the study ( n = 172) and evaluated by clinical–etiology–anatomy–pathophysiology severity and heel-rise test. Results In model 1 of logistic regression, number of heel-rise test repetitions, age, and physical activity explained 47% of clinical–etiology–anatomy–pathophysiology severity ( p = 0.0001), physical activity contributed the most. In model 2, heel-rise test repetition rate, age, and physical activity explained 46.4% of clinical–etiology–anatomy–pathophysiology severity ( p = 0.0001), repetition rate contributed the most. Conclusion: There was an inverse association between muscular pump performance and physical activity with clinical–etiology–anatomy–pathophysiology severity, muscular pump repetition rate contributed to a less severe outcome.

Effect of Compression Stockings on the Skin Microcirculation in Chronic Venous Insufficiency

1995 ◽  
Vol 10 (1) ◽  
pp. 5-11 ◽  
Author(s):  
A. Abu-Own ◽  
J. H. Scurr ◽  
P. D. Coleridge Smith
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Laser Doppler ◽  
Controlled Study ◽  
Fibre Laser ◽  
Medial Malleolus ◽  
Compression Stocking ◽  
Compression Stockings ◽  
Median Increase ◽  
The Subject

Objective: To use a single fibre laser Doppler fluxmeter to assess the microcirculatory effects of compression stockings. Design: Controlled study comprising patient and control groups. Setting: Department of Surgery, University College London Medical School, London, UK. Patients and participants: Ten patients with lipodermatosclerosis caused by chronic venous insufficiency and 10 control subjects. Interventions: Measurements were made from the liposclerotic skin of patients and 8 cm above the medial malleolus in controls. Laser Doppler flux (LDF), blood ce velocity (BCV) and concentration of moving blood cells (CMBC) were recorded with the subject lying supine. A class II graduated compression stocking was applied to the leg and laser Doppler recordings were repeated. The protocol was repeated with the subject sitting. Main outcome measures: The effects of a compression stocking on LDF, BCV and CMBC in the horizontal and sitting positions were measured. Results: In patients in the supine position, the compression stocking resulted in a 28% median increase in LDF ( p = 0.03), with a corresponding 29% median increase in BCV. There was no significant change in CMBC. In the sitting position, the compression stocking caused a 105% median increase in LDF ( p < 0.01) due to a corresponding 89% median increase in BCV ( p = 0.01); there was only 25% median increase in CMBC. The effects of compression in controls were similar to those in patients. Conclusion: Compression stockings may be effective in the treatment of chronic venous insufficiency by increasing the microcirculatory flow velocity.

scholarly journals Home use of impulse compression of the foot and compression stockings in the treatment of chronic venous insufficiency

2001 ◽  
Vol 34 (5) ◽  
pp. 805-811 ◽  
Author(s):  
Juan I. Arcelus ◽  
Joseph A. Caprini ◽  
Lakshman R. Sehgal ◽  
José J. Reyna
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Compression Stockings

scholarly journals CHRONIC VENOUS INSUFFICIENCY

10.23856/3217 ◽  
2019 ◽  
Vol 32 (1) ◽  
pp. 131-136
Author(s):  
Antoni Stadnicki ◽  
Martin Rusnák ◽  
Anna Stadnicka
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Chronic Venous Disease ◽  
Postthrombotic Syndrome ◽  
Venous Disease ◽  
Compression Stockings ◽  
Venous Leg Ulcer ◽  
Color Flow ◽  
Clinical Disorder

Chronic venous insufficiency (CVI) is a common, but underdiagnozed clinical disorder associated with a variety of signs and symptoms. The presence of leg edema in association  with varicose veins, and venous leg ulcer in later disease stages defines the disease. The pathogenesis of chronic venous disease  is based on venous reflux, obstruction, or a combination thereof.  Prior postthrombotic syndrome   is one of risk factor for CVI which may explain observed  prevalence of thrombophilia in CVI. Color flow duplex ultrasound is the gold standard for nearly all diagnostic issues related to chronic venous disease. Compression stockings are the mainstay for conservative management. Earlier use of venous ablation therapy should be considered in symptomatic patients with superficial tortuous vein

Compression Stockings and their Effect on the Venous Pump — A Comparative Study

1986 ◽  
Vol 1 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Jan Struckmann
Keyword(s):  
Venous Insufficiency ◽  
Clinical Effect ◽  
Upright Position ◽  
Additional Benefit ◽  
Sex Distribution ◽  
Compression Stockings ◽  
Patient Acceptability ◽  
Patient Category ◽  
Venous Function ◽  
A Prospective Study

A prospective study of 45 patients with venous insufficiency. The patients were divided into four different groups that were comparable in venous function, age and sex distribution. The effect of four different conventional compression stockings was evaluated by their clinical effect and the effect upon the musculo-venous pump as assessed by ambulatory strain-gauge plethysmography, over a 6-week treatment period. In this patient category, there could not be demonstrated any additional benefit of increasing compression, and patient acceptability was concomitantly reduced with increasing pressure. The pressure exerted by the stockings was assessed by the Borgnis Medical Stocking Tester, and pressures were found to increase in the upright position with an increase in the concomitant pressure gradient between ankle and knee.

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