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Intermittent compression units for severe post-phlebitic syndrome: a randomized crossover study.

J S Ginsberg1, D Magier, B Mackinnon

  • 1Department of Medicine, McMaster University, Hamilton, Ont. ginsbrgj@fhs.csu.mcmaster.ca

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|May 20, 1999
PubMed
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Intermittent compression pump therapy significantly improved symptoms for patients with severe post-phlebitic syndrome. Most patients experienced sustained benefits, making pump therapy a worthwhile treatment option.

Area of Science:

  • Vascular Medicine
  • Medical Devices

Background:

  • Severe post-phlebitic syndrome can cause persistent pain and swelling, impacting daily life.
  • Intermittent compression therapy is a potential treatment for managing these debilitating symptoms.

Purpose of the Study:

  • To evaluate the efficacy of intermittent compression therapy using an extremity pump for severe post-phlebitic syndrome.
  • To determine if the therapeutic benefits of the pump are sustained over time.

Main Methods:

  • A randomized crossover trial involving 15 patients with post-phlebitic syndrome.
  • Patients used an extremity pump with either therapeutic (50 mm Hg) or placebo (15 mm Hg) pressure for one month each.
  • Symptom scores and functional status were assessed, along with patient preference and long-term usage.

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Main Results:

  • Therapeutic pressure resulted in significantly better symptom scores (mean 16.5) compared to placebo (mean 14.4) (p = 0.007).
  • Treatment success, defined by patient preference and continued use, was achieved in 80% of patients.
  • Nine patients continued to use the pump beyond the study, reporting sustained benefits.

Conclusions:

  • Intermittent compression pump therapy is a beneficial treatment for severe post-phlebitic syndrome.
  • A trial of pump therapy is recommended, as most patients can expect sustained symptom relief.