Related Experiment Video
Updated: Oct 30, 2025
08:05
Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
4.6K
Utility of compression immediately after venous closure: Does it matter?
Paul Lajos1, Scott Safir2, Jonathan Weber3
1Division of Vascular Surgery, University of Pittsburgh Medical Center Hamot, Erie, PA, USA.
Phlebology
|July 2, 2021
Summary
Post-venous closure leg compression offers no benefits and may increase swelling and discomfort. This study found no difference in closure rates, suggesting compression is unnecessary after these procedures.
Area of Science:
- Vascular Surgery
- Phlebology
- Medical Devices
Background:
- Leg compression following venous closure procedures is a common practice.
- The necessity and efficacy of this compression remain controversial in clinical settings.
Purpose of the Study:
- To evaluate the effectiveness and cost-implications of immediate leg compression after venous closure procedures.
- To compare outcomes between patients who received immediate compression and those who did not.
Main Methods:
- A retrospective review of patients undergoing sclerotherapy, mechanochemical ablation (MOCA), or radiofrequency ablation (RFA).
- Two cohorts were analyzed: one group received immediate ACE-wrapping (AW) for 3-5 days, while the other group (NAW) did not.
- Ultrasound follow-up at 1 week and 3 months assessed closure rates, with financial data on compression materials also collected.
Main Results:
- No significant differences were observed in patient demographics or comorbidities between the AW and NAW groups, except for higher rates of hyperlipidemia and obesity in the NAW group.
- While closure rates were high in both groups (98% AW, 100% NAW), the AW group experienced greater swelling (p=0.0132).
- The non-ACE-wrapped (NAW) group demonstrated a cost saving of $1.58 per leg per procedure.
Conclusions:
- Immediate leg compression after venous closure procedures provides no discernible benefit regarding closure rates or postoperative outcomes.
- Compression may be associated with increased swelling and discomfort, without significant cost savings.
- Further research with larger sample sizes is recommended to validate these findings.
Keywords:
Compression stockingsablationchronic venous diseasesclerotherapythrombosisulcervaricose veinsvenous closurevenous insufficiencyMore Related Videos
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
83
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...
83
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
83
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...
83
01:29Venous Thrombosis III: Interprofessional Care
72
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...
72
01:30Venous Thrombosis IV: Nursing Management
63
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
63
01:04Venous Return
9.8K
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...
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...
9.8K
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
57
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
57