Compression Therapy to Prevent Post-Thrombotic Syndrome

Compression after deep venous thrombosis reduced residual vein obstruction; absence of residual vein obstruction was associated with lower prevalence of post-thrombotic syndrome.

Up to 50% of patients with acute deep venous thrombosis (DVT) experience post-thrombotic syndrome (PTS), which ranges in severity from pain and swelling to skin pigmentation and ulceration. However, current guidelines do not recommend any specific measures to prevent PTS.

To determine whether the application of compression stockings or bandages during the acute phase of DVT would reduce subsequent development of PTS, investigators from the Netherlands conducted a nonrandomized trial involving 592 patients with proximal DVT of the leg. Of these patients, 62.3% received compression with multilayer bandaging, 25.5% received compression with stockings, and 12.2% received no compression. After a mean of 5.3 months, anticoagulation was discontinue…

Reviewing Author

David Green, MD, PhD

Disclosures

EquityNovartis

David Green, MD, PhD

Disclosures

EquityNovartis

Compression Therapy to Prevent Post-Thrombotic Syndrome

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Reviewing Author