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

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...

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Detalles Bibliográficos
Autor principal: Da Matta, Eduardo Simões
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944307/
https://www.ncbi.nlm.nih.gov/pubmed/29930664
http://dx.doi.org/10.1590/1677-5449.006817
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author Da Matta, Eduardo Simões
author_facet Da Matta, Eduardo Simões
author_sort Da Matta, Eduardo Simões
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description 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.
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spelling pubmed-59443072018-06-21 Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome Da Matta, Eduardo Simões J Vasc Bras Review Article 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. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2017 /pmc/articles/PMC5944307/ /pubmed/29930664 http://dx.doi.org/10.1590/1677-5449.006817 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Da Matta, Eduardo Simões
Two divergent paths: compression vs. non-compression in deep venous thrombosis and post thrombotic syndrome
title 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_short 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
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944307/
https://www.ncbi.nlm.nih.gov/pubmed/29930664
http://dx.doi.org/10.1590/1677-5449.006817
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