Abstract
Aim: Quantification of the hemodynamic situation in varicose veins without any treatment, after standardised walking, under compression alone and after walking with medical stockings. Methods: 30 patients with postthrombotic syndrome (PTS) (C4-6, Es, ASPD, PR,O) and 20 healthy volunteers were included. Examination was performed in four steps: 1. Volume in the common femoral vein (VFV) and artery (VFA) were measured by duplex sonography under standardized conditions. Division of VFV and VFA calculated VAFI (VAFI-1). After standardized relaxed walking (2 km/h for 10 min using a treadmill) calculation of VAFI was repeated (VAFI-2). The third measurement of VAFI was performed after a compression treatment with short stretch bandages up to the knee for 30 min (VAFI-3). Finally, VAFI-4 calculation was done after standardized walking with compression. Results: In PTS mean VAFI-1 was 1.56 ± 0.32. After 10 min walking VAFI-2 was 1.27 ± 0.37. VAFI decreased due to compression to 1.12 ± 0.27. Walking with compression led to a decrease of VAFI-4 to 1.05 ± 0.26. In PTS the decrease of VAFI according to walking and compression was significant (p <0.001). No significant difference was found between VAFI-4 in PTS and healthy VAFI. In the control group no changes of VAFI due to walking or compression were documented. Conclusion: In PTS VAFI decreased according to either walking or compression. However, the combination of walking and compression led to levels of VAFI as they are found in healthy limbs.
| Translated title of the contribution | Quantitative analysis of the hemodynamic improvement by standardized walking in postphlebitic syndrome |
|---|---|
| Original language | German |
| Journal | Phlebologie |
| Volume | 31 |
| Issue number | 6 |
| Pages (from-to) | 126-131 |
| Number of pages | 6 |
| ISSN | 0939-978X |
| DOIs | |
| Publication status | Published - 12.2002 |
