Compression therapy after invasive treatment of superficial veins of the lower extremities: Clinical practice guidelines of the American Venous Forum, Society for Vascular Surgery, American College of Phlebology, Society for Vascular Medicine, and International Union of Phlebology

被引：70

作者：

Lurie, Fedor ^{[1
,2
]}

Lal, Brajesh K. ^{[3
,4
]}

Antignani, Pier Luigi ^{[5
]}

Blebea, John ^{[6
]}

Bush, Ruth ^{[7
]}

Caprini, Joseph ^{[8
]}

Davies, Alun ^{[9
]}

Forrestal, Mark ^{[10
]}

Jacobowitz, Glenn ^{[11
]}

Kalodiki, Evi ^{[12
]}

Killewich, Lois ^{[13
]}

Lohr, Joann ^{[14
]}

Ma, Harry ^{[15
]}

Mosti, Giovanni ^{[16
]}

Partsch, Hugo ^{[17
]}

Rooke, Thom ^{[18
]}

Wakefield, Thomas ^{[2
]}

机构：

[1] Promedica, Jobst Vasc Inst Promed, 2109 Hughes Dr,Ste 400, Toledo, OH 43606 USA

[2] Univ Michigan, Ann Arbor, MI 48109 USA

[3] Univ Maryland, Sch Med, Baltimore, MD 21201 USA

[4] Baltimore VA Med Ctr, Baltimore, MD 21201 USA

[5] Nuova Villa Claudia, Vasc Ctr, Rome, Italy

[6] Cent Michigan Univ, Coll Med, Saginaw, MI USA

[7] Univ Houston, Coll Med, Houston, TX USA

[8] Northshore Univ Healthcare Syst, Chicago, IL USA

[9] Imperial Coll, Sch Med, London, England

[10] NCH Med Grp, Arlington Hts, IL USA

[11] NYU, Sch Med, New York, NY USA

[12] Imperial Coll London, London, England

[13] Univ Texas Med Branch, Galveston, TX 77555 USA

[14] Lohr Surg Specialists, Cincinnati, OH USA

[15] Vasc Experts, New London, CT USA

[16] Clin MD Barantini, Lucca, Italy

[17] Med Univ Vienna, Vienna, Austria

[18] Mayo Clin, Rochester, MN USA

来源：

JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS | 2019年 / 7卷 / 01期

关键词：

ENDOVENOUS LASER-ABLATION; GREAT SAPHENOUS-VEIN; RANDOMIZED CONTROLLED-TRIAL; VARICOSE-VEINS; OPTIMUM COMPRESSION; LEG ULCERS; SCLEROTHERAPY; STOCKINGS; PRESSURE; BANDAGES;

D O I：

10.1016/j.jvsv.2018.10.002

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Guideline 1.1: Compression after thermal ablation or stripping of the saphenous veins. When possible, we suggest compression (elastic stockings or wraps) should be used after surgical or thermal procedures to eliminate varicose veins. [GRADE - 2; LEVEL OF EVIDENCE - C] Guideline 1.2: Dose of compression after thermal ablation or stripping of the varicose veins. If compression dressings are to be used postprocedurally in patients undergoing ablation or surgical procedures on the saphenous veins, those providing pressures >20 mm Hg together with eccentric pads placed directly over the vein ablated or operated on provide the greatest reduction in postoperative pain. [GRADE - 2; LEVEL OF EVIDENCE - B] Guideline 2.1: Duration of compression therapy after thermal ablation or stripping of the saphenous veins. In the absence of convincing evidence, we recommend best clinical judgment to determine the duration of compression therapy after treatment. [BEST PRACTICE] Guideline 3.1: Compression therapy after sclerotherapy. We suggest compression therapy immediately after treatment of superficial veins with sclerotherapy to improve outcomes of sclerotherapy. [GRADE - 2; LEVEL OF EVIDENCE - C] Guideline 3.2: Duration of compression therapy after sclerotherapy. In the absence of convincing evidence, we recommend best clinical judgment to determine the duration of compression therapy after sclerotherapy. [BEST PRACTICE] Guideline 4.1: Compression after superficial vein treatment in patients with a venous leg ulcer. In a patient with a venous leg ulcer, we recommend compression therapy over no compression therapy to increase venous leg ulcer healing rate and to decrease the risk of ulcer recurrence. [GRADE - 1; LEVEL OF EVIDENCE - B] Guideline 4.2: Compression after superficial vein treatment in patients with a mixed arterial and venous leg ulcer. In a patient with a venous leg ulcer and underlying arterial disease, we suggest limiting the use of compression to patients with ankle-brachial index exceeding 0.5 or if absolute ankle pressure is >60 mm Hg. [GRADE - 2; LEVEL OF EVIDENCE - C]

引用

页码：17 / 28

页数：12

共 69 条

[1] Endovenous laser ablation for saphenous vein insufficiency: Short-and mid-term results of 230 procedures [J].