Related Experiment Video

Updated: Jun 14, 2026

Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge
09:32

Continuous Venous-Arterial Doppler Ultrasound During a Preload Challenge

Published on: January 20, 2023

The impact of intermittent pneumatic compression devices on deep venous flow velocity in patients with congestive

Yoshio Nose1, Kazuya Murata, Yasuaki Wada

  • 1Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan. nose@c-able.ne.jp

Journal of Cardiology
|March 31, 2010
PubMed

Insights

Sequential foot and calf intermittent pneumatic compression (IPC) effectively enhances venous flow in patients with congestive heart failure (CHF), unlike impulse foot IPC, suggesting its utility in DVT prevention.

Area of Science:

  • Vascular Medicine
  • Cardiology
  • Medical Devices

Background:

  • Intermittent pneumatic compression (IPC) is used for deep venous thrombosis (DVT) prevention.
  • Its effects on lower extremity venous hemodynamics in congestive heart failure (CHF) patients are understudied.

Purpose of the Study:

  • Evaluate IPC's impact on popliteal and soleal vein flow velocities.
  • Compare the efficacy of sequential foot and calf IPC (SFC-IPC) versus impulse foot IPC (IF-IPC) in enhancing venous flow in CHF patients.

Main Methods:

  • High-resolution Doppler ultrasound measured popliteal and soleal vein flow velocities.
  • Measurements were taken at rest and during SFC-IPC and IF-IPC in 19 CHF patients and 19 controls.
  • IF-IPC used a pneumatic impulse generator at 130 mmHg.

Main Results:

  • Resting popliteal venous flow velocity was lower in CHF patients.
  • Both IPC types increased venous velocity, but IF-IPC's effect was less pronounced in CHF patients.
  • SFC-IPC significantly increased soleal and popliteal vein velocities in CHF patients, comparable to controls. IF-IPC did not increase soleal vein velocity in CHF patients.

Conclusions:

  • SFC-IPC demonstrated a significant increase in mean and peak venous velocities in both soleal and popliteal veins in CHF patients.
  • IF-IPC did not show similar benefits in CHF patients.
  • SFC-IPC may offer favorable effects for DVT prevention in CHF patients.
Abstract

More Related Videos

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane08:05

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane

Published on: December 9, 2022

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Return01:04

Venous Return

The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system as it...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...