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Postsclerotherapy compression: A systematic review.

Matthew K H Tan1, Safa Salim1, Sarah Onida1

  • 1Academic Section of Vascular Surgery, Division of Surgery, Department of Surgery & Cancer, Imperial College London, London, UK.

Journal of Vascular Surgery. Venous and Lymphatic Disorders
|August 14, 2020
PubMed
Summary
This summary is machine-generated.

Compression therapy after sclerotherapy shows some benefits for spider veins, but evidence for optimal type and duration is limited. More research is needed for effective chronic venous disease management.

Keywords:
Chronic venous diseaseCompression bandagingFoam sclerotherapy compression therapySclerotherapy

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Area of Science:

  • Vascular Medicine
  • Dermatology
  • Phlebology

Background:

  • Compression therapy is a common practice following sclerotherapy for chronic venous disease.
  • The evidence supporting its efficacy, optimal type, and duration remains unclear.

Purpose of the Study:

  • To systematically review and assess the evidence for compression therapy after sclerotherapy.
  • To inform clinical practice guidelines for managing patients undergoing sclerotherapy.

Main Methods:

  • A systematic review adhering to PRISMA guidelines was conducted.
  • Medline and EMBASE databases were searched for English-language studies (1946-2019).
  • Studies compared compression type and/or duration in adult chronic venous disease patients treated with liquid or foam sclerotherapy.

Main Results:

  • Five studies used liquid sclerotherapy, three used foam, and one used both.
  • Compression stockings significantly reduced telangiectasia and reticular veins in C1 patients receiving liquid sclerotherapy.
  • No significant differences in symptoms or quality of life were found when comparing compression duration for C2-C6 patients.
  • Stockings showed greater superficial vein resolution than bandages in C2 patients undergoing liquid sclerotherapy.
  • Higher pressure stockings (35 mmHg) improved symptoms more than lower pressure (23 mmHg) in C2-C6 patients receiving foam sclerotherapy.

Conclusions:

  • Postsclerotherapy compression may offer short-term clinical benefits.
  • Evidence regarding the optimal type, class, length, and duration of compression is lacking.
  • Further clinical trials are necessary to establish optimal postsclerotherapy management protocols.