Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome

Abstract Use of compression therapy to reduce the incidence of postthrombotic syndrome among patients with deep venous thrombosis is a controversial subject and there is no consensus on use of elastic versus inelastic compression, or on the levels and duration of compression. Inelastic devices with a higher static stiffness index, combine relatively small and comfortable pressure at rest with pressure while standing strong enough to restore the “valve mechanism” generated by plantar flexion and dorsiflexion of the foot. Since the static stiffness index is dependent on the rigidity of the compression system and the muscle strength within the bandaged area, improvement of muscle mass with muscle-strengthening programs and endurance training should be encouraged. Therefore, in the acute phase of deep venous thrombosis events, anticoagulation combined with inelastic compression therapy can reduce the extension of the thrombus. Notwithstanding, prospective studies evaluating the effectiveness of inelastic therapy in deep venous thrombosis and post-thrombotic syndrome are needed.

Saved in:
Bibliographic Details
Main Author: Da Matta,Eduardo Simões
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492017000400304
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:scielo:S1677-54492017000400304
record_format ojs
spelling oai:scielo:S1677-544920170004003042018-02-08Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndromeDa Matta,Eduardo Simões deep vein thrombosis post-thrombotic syndrome compression therapy adjustable velcro compression device Abstract Use of compression therapy to reduce the incidence of postthrombotic syndrome among patients with deep venous thrombosis is a controversial subject and there is no consensus on use of elastic versus inelastic compression, or on the levels and duration of compression. Inelastic devices with a higher static stiffness index, combine relatively small and comfortable pressure at rest with pressure while standing strong enough to restore the “valve mechanism” generated by plantar flexion and dorsiflexion of the foot. Since the static stiffness index is dependent on the rigidity of the compression system and the muscle strength within the bandaged area, improvement of muscle mass with muscle-strengthening programs and endurance training should be encouraged. Therefore, in the acute phase of deep venous thrombosis events, anticoagulation combined with inelastic compression therapy can reduce the extension of the thrombus. Notwithstanding, prospective studies evaluating the effectiveness of inelastic therapy in deep venous thrombosis and post-thrombotic syndrome are needed.info:eu-repo/semantics/openAccessSociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)Jornal Vascular Brasileiro v.16 n.4 20172017-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492017000400304en10.1590/1677-5449.006817
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Da Matta,Eduardo Simões
spellingShingle Da Matta,Eduardo Simões
Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome
author_facet Da Matta,Eduardo Simões
author_sort Da Matta,Eduardo Simões
title Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome
title_short Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome
title_full Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome
title_fullStr Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome
title_full_unstemmed Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome
title_sort two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome
description Abstract Use of compression therapy to reduce the incidence of postthrombotic syndrome among patients with deep venous thrombosis is a controversial subject and there is no consensus on use of elastic versus inelastic compression, or on the levels and duration of compression. Inelastic devices with a higher static stiffness index, combine relatively small and comfortable pressure at rest with pressure while standing strong enough to restore the “valve mechanism” generated by plantar flexion and dorsiflexion of the foot. Since the static stiffness index is dependent on the rigidity of the compression system and the muscle strength within the bandaged area, improvement of muscle mass with muscle-strengthening programs and endurance training should be encouraged. Therefore, in the acute phase of deep venous thrombosis events, anticoagulation combined with inelastic compression therapy can reduce the extension of the thrombus. Notwithstanding, prospective studies evaluating the effectiveness of inelastic therapy in deep venous thrombosis and post-thrombotic syndrome are needed.
publisher Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
publishDate 2017
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492017000400304
work_keys_str_mv AT damattaeduardosimoes twodivergentpathscompressionvsnoncompressionindeepvenousthrombosisandpostthromboticsyndrome
_version_ 1756427854249197568