Abstract
Compression encompasses a range of therapies used to provide an externally applied graduated pressure greater at the ankle than the knee aiming to improve venous function and decrease lower limb swelling (Lim and Davies, Graduated compression stockings [Internet], 2020). Graduated compression stockings are elastic stockings that exert the greatest degree of compression at the ankle, with the degree of compression gradually decreasing up the garment (Lim and Davies, Graduated compression stockings [Internet], 2020). The indications for graduated compression stockings include symptom relief in post-thrombotic syndrome, chronic venous disease, lipedema, and lymphedema. Investigational studies into the use of stockings to prevent post-thrombotic syndrome are underway.
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References
Lippi G, Favaloro EJ, Cervellin G. Prevention of venous thromboembolism: focus on mechanical prophylaxis. Semin Thromb Hemost [Internet]. 2011 [cited 2021 Jun 2];37(3):237–51. Available from: https://pubmed.ncbi.nlm.nih.gov/21455858/
DeWeese JA. Treatment of venous disease – the innovators. J Vasc Surg [Internet]. 1994 [cited 2021 Jun 2];20(5):675–83. Available from: https://pubmed.ncbi.nlm.nih.gov/7966801/
Bergan J. The Vein Book. 30 Corporate Drive, Suite 400, Burlington, MA: Elsevier; 2007.
Moffatt CJ, DD. The Charing cross high compression four-layer bandage system. J Wound Care. 1993;2:91–4.
Blair SD, Wright DDI, Backhouse CM, et al. Sustained compression and healing of chronic venous ulcers. Br Med J [Internet]. 1988 Nov 5 [cited 2021 Jun 2];297(6657):1159–61. Available from: http://www.bmj.com/
Kamm RD. Bioengineering studies of periodic external compression as prophylaxis against deep vein thrombosis—Part I: Numerical studies. J Biomech Eng [Internet]. 1982 [cited 2021 Jun 2];104(2):87–95. Available from: https://pubmed.ncbi.nlm.nih.gov/7078134/
Richmand DM, O’Donnell TF, Zelikovski A. Sequential pneumatic compression for lymphedema: a controlled trial. Arch Surg [Internet]. 1985 [cited 2021 Jun 2];120(10):1116–9. Available from: https://pubmed.ncbi.nlm.nih.gov/4038053/
Rabe E, Partsch H, Jünger M, et al. Guidelines for clinical studies with compression devices in patients with venous disorders of the lower limb. Eur J Vasc Endovasc Surg [Internet]. 2008 Apr [cited 2021 Jun 2];35(4):494–500. Available from: https://pubmed.ncbi.nlm.nih.gov/18249571/
Henke PK, Comerota AJ. An update on etiology, prevention, and therapy of postthrombotic syndrome. J Vasc Surg. Mosby Inc.; 2011;53:500–9.
Partsch H. Physics of compression.
Lim CS, Davies AH. Graduated compression stockings [Internet]. CMAJ. Can Med Assoc 2014;186[cited 2020 Dec 26]:E391–8. Available from: https://www.cmaj.ca/content/186/10/E391
Partsch H, Schuren J, Mosti G, et al. The Static Stiffness Index: An important parameter to characterise compression therapy in vivo. J Wound Care [Internet]. 2016 Sep 1 [cited 2021 Jun 2];25(9):S4–10. Available from: https://pubmed.ncbi.nlm.nih.gov/27608740/
Compression stockings | Health topics A to Z | CKS | NICE [Internet]. [cited 2021 Jun 2]. Available from: https://cks.nice.org.uk/topics/compression-stockings/
Ravikumar R, Williams KJ, Babber A, et al. Randomised controlled trial: potential benefit of a footplate neuromuscular electrical stimulation device in patients with chronic venous disease. Eur J Vasc Endovasc Surg. 2017 Jan 1;53(1):114–21.
Zhang Q, Styf J, Ekström L, et al. Effects of electrical nerve stimulation on force generation, oxygenation and blood volume in muscles of the immobilized human leg. Scand J Clin Lab Invest [Internet]. 2014 [cited 2020 Dec 28];74(5):369–77. Available from: https://www.tandfonline.com/doi/abs/10.3109/00365513.2014.898323
Dennis M, Cranswick G, Deary A, et al. Effectiveness of thigh-length graduated compression stockings to reduce the risk of deep vein thrombosis after stroke (CLOTS trial 1): a multicentre, randomised controlled trial. Lancet [Internet]. 2009 Jun 6 [cited 2021 May 11];373(9679):1958–65. Available from: www.thelancet.com
What is compression, what are compression levels? - Sigvaris US [Internet]. [cited 2021 Jun 2]. Available from: https://www.sigvaris.com/en/your-health/compression-therapy
Prandoni P, Noventa F, Quintavalla R, et al. Thigh-length versus below-knee compression elastic stockings for prevention of the postthrombotic syndrome in patients with proximal-venous thrombosis: a randomized trial. Blood. 2012;119(6):1561–5.
Wassall A. Compression hosiery: donning aids and garment removal. Br J Community Nurs. 2007;12(S10-S16)
Shalhoub J, Lawton R, Hudson J, et al. Graduated compression stockings as adjuvant to pharmaco-thromboprophylaxis in elective surgical patients (GAPS study): Randomised controlled trial. BMJ [Internet]. 2020 May 13 [cited 2021 Apr 7];369. Available from: https://www.bmj.com/content/369/bmj.m1309
The National Institute for Health and Care Excellence. Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism, NICE guideline [NG89] [Internet]. 2018. Available from: https://www.nice.org.uk/guidance/ng89
Kahn SR, Shapiro S, Wells PS, et al. Compression stockings to prevent post-thrombotic syndrome: a randomised placebo-controlled trial. Lancet. 2014;383(9920):880–8.
Kahn SR, Comerota AJ, Cushman M, et al. The postthrombotic syndrome: evidence-based prevention, diagnosis, and treatment strategies: a scientific statement from the American heart association. Circulation [Internet]. 2014 Oct 28 [cited 2020 Dec 17];130(18):1636–61. Available from: https://www.ahajournals.org/doi/10.1161/CIR.0000000000000130
Skervin AL, Thapar A, Franchini AJ, et al. Systematic review and meta-analysis of utility of graduated compression stockings in prevention of post-thrombotic syndrome [Internet]. Eur J Vasc Endovasc Surg. W.B. Saunders Ltd; 2016; [cited 2021 Jun 2]51:838–45. Available from: https://pubmed.ncbi.nlm.nih.gov/27026391/
Azirar S, Appelen D, Prins MH, et al. Compression therapy for treating post-thrombotic syndrome. Cochrane Database Syst Rev [Internet]. 2019 Sep 18 [cited 2020 Dec 28];(9). Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004177.pub2/full
Lattimer CR, Azzam M, Kalodiki E, et al. Compression stockings significantly improve hemodynamic performance in post-thrombotic syndrome irrespective of class or length. J Vasc Surg. 2013 Jul 1;58(1):158–65.
Anderson JH, Geraghty JG, Wilson YT, et al. Paroven and graduated compression hosiery for superficial venous insufficiency. Phlebology [Internet]. 1990 Jun 24 [cited 2021 Jun 2];5(4):271–6. Available from: https://journals.sagepub.com/doi/abs/10.1177/026835559000500408
Benigni J, Sadoun S, Allaert F, Vin F. Efficacy of class 1 elastic compression stockings in the early stages of chronic venous disease. Int Angiol. 2003;22:383–92.
Krijnen RMA, De Boer EM, Adèr HJ, et al. Compression stockings and rubber floor mats: do they benefit workers with chronic venous insufficiency and a standing profession? J Occup Environ Med [Internet]. 1997 Sep [cited 2021 Jun 2];39(9):889–94. Available from: https://pubmed.ncbi.nlm.nih.gov/9322173/
NICE. Varicose veins: diagnosis and management Clinical guideline [Internet]. 2013 [cited 2021 Jun 2]. Available from: www.nice.org.uk/guidance/cg168
NICE CKS. Scenario: Management | Management | Venous eczema and lipodermatosclerosis | CKS | NICE [Internet]. [cited 2021 Jun 2]. Available from: https://cks.nice.org.uk/topics/venous-eczema-lipodermatosclerosis/management/management/
O’Meara S, Tierney J, Cullum N, et al. Four layer bandage compared with short stretch bandage for venous leg ulcers: Systematic review and meta-analysis of randomised controlled trials with data from individual patients. BMJ [Internet]. 2009 May 2 [cited 2021 Jun 2];338(7702):1054–7. Available from: http://www.bmj.com/
Iglesias C, Nelson EA, Cullum NA, et al. VenUS I: A randomised controlled trial of two types of bandage for treating venous leg ulcers [Internet]. Vol. 8, Health Technology Assessment. National Co-ordinating Centre for HTA; 2004 [cited 2021 Jun 2]. Available from: https://pubmed.ncbi.nlm.nih.gov/15248939/
Ashby RL, Gabe R, Ali S, et al. Clinical and cost-effectiveness of compression hosiery versus compression bandages in treatment of venous leg ulcers (Venous leg Ulcer Study IV, VenUS IV): a randomised controlled trial. Lancet [Internet]. 2014 [cited 2021 Jun 2];383(9920):871–9. Available from: https://pubmed.ncbi.nlm.nih.gov/24315520/
Gohel MS, Heatley F, Liu X, et al. A randomized trial of early endovenous ablation in venous ulceration. N Engl J Med [Internet]. 2018 May 31 [cited 2021 May 17];378(22):2105–14. Available from: https://www.nejm.org/doi/full/10.1056/NEJMoa1801214
Raju S, Darcey R, Neglén P. Unexpected major role for venous stenting in deep reflux disease. J Vasc Surg [Internet]. 2010 Feb [cited 2021 Jun 2];51(2):401–8. Available from: https://pubmed.ncbi.nlm.nih.gov/20006920/
Black S, Gwozdz A, Karunanithy N, et al. Two year outcome after chronic iliac vein occlusion recanalisation using the vici venous stent®. Eur J Vasc Endovasc Surg. 2018;56(5):710–8.
NICE CKS. Scenario: Venous leg ulcers | Management | Leg ulcer - venous | CKS | NICE [Internet]. [cited 2021 Jun 2]. Available from: https://cks.nice.org.uk/topics/leg-ulcer-venous/management/venous-leg-ulcers/#when-to-refer [.
SIGN NQIS (NHS Q. Management of chronic venous leg ulcers [Internet]. 2010 [cited 2021 Jun 2]. Available from: www.sign.ac.uk.
Bootun R, Belramman A, Bolton-Saghdaoui L, et al. Randomized controlled trial of compression after endovenous thermal ablation of varicose veins (COMETA Trial). Ann Surg [Internet]. 2021 Feb 1 [cited 2021 Jun 2];273(2):232–9. Available from: https://pubmed.ncbi.nlm.nih.gov/31850976/
Forner-Cordero I, Szolnoky G, Forner-Cordero A, et al. Lipedema: an overview of its clinical manifestations, diagnosis and treatment of the disproportional fatty deposition syndrome - systematic review. Clin Obes [Internet]. 2012 Jun [cited 2021 Jun 2];2(3–4):86–95. Available from: https://pubmed.ncbi.nlm.nih.gov/25586162/
Szolnoky G, Borsos B, Bársony K, et al. Complete decongestive physiotherapy with and without pneumatic compression for treatment of lipedema: a pilot study. Lymphology. 2008;40
Lee BB, Andrade M, Bergan J, et al. Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2009. Int Angiol [Internet]. 2010 [cited 2021 Jun 2]. p. 454–70. Available from: https://europepmc.org/article/med/20924350
Rabe E, Partsch H, Hafner J, et al. Indications for medical compression stockings in venous and lymphatic disorders: an evidence-based consensus statement [Internet]. Vol. 33, Phlebology. SAGE Publications Ltd; 2018 [cited 2021 Jun 2]. p. 163–84. Available from: https://journals.sagepub.com/doi/full/10.1177/0268355516689631
Caroline MA, Badger PD, Janet L, Peacock PD, PSMMD. A randomized, controlled, parallel-group clinical trial comparing multilayer bandaging followed by hosiery versus hosiery alone in the treatment of patients with lymphedema of the limb. Cancer. 2000;88:2832–7.
Prandoni P, Lensing AWA, Prins MH, et al. Below-knee elastic compression stockings to prevent the post-thrombotic syndrome. Ann Int Med [Internet]. 2004 Aug 17 [cited 2020 Dec 28];141(4):249. Available from: http://annals.org/article.aspx?doi=10.7326/0003-4819-141-4-200408170-00004
Jull AB, Mitchell N, Arroll J, et al. Factors influencing concordance with compression stockings after venous leg ulcer healing. J Wound Care [Internet]. 2004 Sep 29 [cited 2021 Jun 2];13(3):90–2. Available from: https://www.magonlinelibrary.com/doi/abs/10.12968/jowc.2004.13.3.26590
Finlayson K, Edwards H, Courtney M. The impact of psychosocial factors on adherence to compression therapy to prevent recurrence of venous leg ulcers. J Clin Nurs [Internet]. 2010 May 1 [cited 2021 Jun 2];19(9–10):1289–97. Available from: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2702.2009.03151.x
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Machin, M., Thapar, A., Davies, A.H. (2022). Compression Stockings. In: Tiwary, S.K. (eds) Approach to Lower Limb Oedema. Springer, Singapore. https://doi.org/10.1007/978-981-16-6206-5_12
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DOI: https://doi.org/10.1007/978-981-16-6206-5_12
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