A short review of diagnosis and compression therapy of chronic venous insufficiency.
BACKGROUND
Chronic venous insufficiency (CVI) is a venous disorder in the lower extremities associated with changes in the skin and subcutaneous tissue. Treatment with short-stretch compression bandages is highly recommended for advanced stages of CVI.


METHODS
The compression systems Rosidal Sys, Porelast, Coban, and Proguide were evaluated in 4 groups of mobile and active patients (n = 18) with CVI stage II or III. Sub-bandage pressures at point B1 were measured in the upright and supine positions 30 min and 12 h after the bandage was applied. Average pressures and values of the static stiffness index (SSI) were calculated for each group.


RESULTS
The Porelast, Rosidal Sys and Coban systems had SSI values in excess of 10 mmHg, 30 min and 12 h after application. The corresponding values for Proguide were below 10 mmHg.


CONCLUSIONS
Porelast, Rosidal Sys and Coban are very stiff systems, whereas Proguide is more similar to long-stretch compression bandages with a lower degree of stiffness.
Kecelj Leskovec
Nada
N
Department of Dermatovenereology, Ljubljana University Medical Center, Zaloska 2, SI-1525 Ljubljana, Slovenia.
Pavlović
Milos D
MD
Lunder
Tomaz
T
D000368:Aged; D001458:Bandages; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D014689:Venous Insufficiency / Q000175:diagnosis* / Q000628:therapy*