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Medical compression: effects on pulsatile leg blood flow.

Identifieur interne : 002879 ( PubMed/Curation ); précédent : 002878; suivant : 002880

Medical compression: effects on pulsatile leg blood flow.

Auteurs : H N Mayrovitz [États-Unis] ; J M Macdonald

Source :

RBID : pubmed:20924348

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English descriptors

Abstract

Leg compression bandaging is the mainstay of venous ulcer treatment, yet little is known about the impact of therapeutic compression levels on arterial haemodynamics. In this study, the effect of foot-to-knee, four-layer compression bandaging on below-knee arterial pulsatile blood flow was assessed by nuclear magnetic resonance flowmetry.

PubMed: 20924348

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pubmed:20924348

Le document en format XML

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<title xml:lang="en">Medical compression: effects on pulsatile leg blood flow.</title>
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<name sortKey="Mayrovitz, H N" sort="Mayrovitz, H N" uniqKey="Mayrovitz H" first="H N" last="Mayrovitz">H N Mayrovitz</name>
<affiliation wicri:level="1">
<nlm:affiliation>Nova Southeastern University, College of Medical Sciences, Ft Lauderdale, FL 33328, USA. mayrovit@nova.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Nova Southeastern University, College of Medical Sciences, Ft Lauderdale, FL 33328</wicri:regionArea>
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<name sortKey="Macdonald, J M" sort="Macdonald, J M" uniqKey="Macdonald J" first="J M" last="Macdonald">J M Macdonald</name>
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<title xml:lang="en">Medical compression: effects on pulsatile leg blood flow.</title>
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<name sortKey="Mayrovitz, H N" sort="Mayrovitz, H N" uniqKey="Mayrovitz H" first="H N" last="Mayrovitz">H N Mayrovitz</name>
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<nlm:affiliation>Nova Southeastern University, College of Medical Sciences, Ft Lauderdale, FL 33328, USA. mayrovit@nova.edu</nlm:affiliation>
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<title level="j">International angiology : a journal of the International Union of Angiology</title>
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<term>Adult</term>
<term>Arteries (physiology)</term>
<term>Blood Flow Velocity</term>
<term>Compression Bandages</term>
<term>Female</term>
<term>Humans</term>
<term>Leg (blood supply)</term>
<term>Magnetic Resonance Spectroscopy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pressure</term>
<term>Pulsatile Flow</term>
<term>Regional Blood Flow</term>
<term>Rheology (methods)</term>
<term>Supine Position</term>
<term>Transducers, Pressure</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Artères (physiologie)</term>
<term>Bandages de compression</term>
<term>Débit sanguin régional</term>
<term>Décubitus dorsal</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe ()</term>
<term>Mâle</term>
<term>Pression</term>
<term>Rhéologie ()</term>
<term>Spectroscopie par résonance magnétique</term>
<term>Transducteurs de pression</term>
<term>Vitesse du flux sanguin</term>
<term>Écoulement pulsatoire</term>
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<term>Leg</term>
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<term>Rheology</term>
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<term>Arteries</term>
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<term>Adult</term>
<term>Blood Flow Velocity</term>
<term>Compression Bandages</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Spectroscopy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pressure</term>
<term>Pulsatile Flow</term>
<term>Regional Blood Flow</term>
<term>Supine Position</term>
<term>Transducers, Pressure</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bandages de compression</term>
<term>Débit sanguin régional</term>
<term>Décubitus dorsal</term>
<term>Femelle</term>
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<term>Jambe</term>
<term>Mâle</term>
<term>Pression</term>
<term>Rhéologie</term>
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<front>
<div type="abstract" xml:lang="en">Leg compression bandaging is the mainstay of venous ulcer treatment, yet little is known about the impact of therapeutic compression levels on arterial haemodynamics. In this study, the effect of foot-to-knee, four-layer compression bandaging on below-knee arterial pulsatile blood flow was assessed by nuclear magnetic resonance flowmetry.</div>
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<Month>10</Month>
<Day>06</Day>
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<Year>2011</Year>
<Month>01</Month>
<Day>28</Day>
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<Title>International angiology : a journal of the International Union of Angiology</Title>
<ISOAbbreviation>Int Angiol</ISOAbbreviation>
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<ArticleTitle>Medical compression: effects on pulsatile leg blood flow.</ArticleTitle>
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<MedlinePgn>436-41</MedlinePgn>
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<AbstractText Label="AIM" NlmCategory="OBJECTIVE">Leg compression bandaging is the mainstay of venous ulcer treatment, yet little is known about the impact of therapeutic compression levels on arterial haemodynamics. In this study, the effect of foot-to-knee, four-layer compression bandaging on below-knee arterial pulsatile blood flow was assessed by nuclear magnetic resonance flowmetry.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In 14 healthy supine subjects, bilateral pulsatile blood flow measured at five below-knee sites without compression; and during compression of one leg to an average malleolar sub-bandage pressure of 40.7±4.0 mmHg.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The forefoot-to-knee compression bandaging caused a highly significant (P<0.001) increase in the bandaged leg pulsatile blood flow due to increases in both peak flow and pulse width.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">It is hypothesized that arteriolar vasodilatation, induced either myogenically by reduced transmural pressure or by vasodilatory substance release triggered by increased venous shear stress and veno-arterial interactions, possibly combined with altered vascular compliance, produce the observed compression-related phenomenon. Whatever the mechanism(s), the finding of a compression-associated pulsatile flow increase suggests an arterial linkage, which may play a role in the well-documented beneficial effects of compression bandaging in venous ulcer and lymphedema treatment. Possible beneficial effects of the arterial flow-pulse increase on venous ulcer outcome may be related to a decrease in leukocyte effects in the distal microvasculature.</AbstractText>
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