New aspects of chronic venous compartment syndrome

Hach, W.; Hach-Wunderle, V.

doi:10.1007/s007720100147

Cited by 24 publications

(33 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…IMP measurement was performed in the three deep compartments of the leg: soleus, gastrocnemius, and anterior tibial. The leggings had no effect on IMP during walking and running, but there was a significant increase in IMP in the standing position for low IPs (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). The main limitation, however, of Murthy's results was their improper use of Circaid Õ devices which, in our opinion, were applied too loosely in their study.…”

Section: For the Future: A Numerical Approach And Simulation By Finitmentioning

confidence: 98%

Relationship between medical compression and intramuscular pressure as an explanation of a compression paradox

Cornu‐Thénard

Fournier³

et al. 2014

Phlebology

View full text Add to dashboard Cite

We found that an IP of 22 mmHg produced a significant IMP increase from 32 to 54 mmHg, in the standing position. At the same time, the subcutaneous pressure is only provided by the compression device, on healthy subjects. In other words, the subcutaneous pressure plus the IP is only a little higher than 22 mmHg-a pressure which is too low to reduce the caliber of the superficial veins. This is in accordance with our standing MRI 3D anatomical study which showed that, paradoxically, when applying low pressures (IP), the deep veins are compressed while the superficial veins are not.

show abstract

Section: For the Future: A Numerical Approach And Simulation By Finitmentioning

confidence: 98%

Relationship between medical compression and intramuscular pressure as an explanation of a compression paradox

Cornu‐Thénard

Fournier³

et al. 2014

Phlebology

View full text Add to dashboard Cite

show abstract

“…Nach aktueller Auffassung [12] kommt es im Rahmen einer lange bestehenden chronischvenösen Insuffizienz zu einem degenerativen Prozess an der Unterschenkelfaszie mit Sklerosierung und einem Verlust an Elastizität, verbunden mit einem Anstieg des intrakompartimentellen Druckes.Langfristig kommt es zu einer Mangelperfusion,die letztlich nicht nur zum Ulcus cruris, sondern auch zur Degeneration der betroffenen Muskulatur führen kann.Hach beschreibt diesen Zustand als ein chronisches Kompartmentsyndrom in Abgrenzung zum akuten Kompartmentsyndrom der Tibialis-anterior-Loge. Eine operative Spaltung der Faszie beseitigt demnach die pathologische Kompartmentdruckerhöhung und normalisiert die Perfusion.Studien,die methodisch einwandfrei den spezifischen klinischen Effekt der Fasziotomie nachweisen,fehlen bislang jedoch.…”

Section: Paratibiale Fasziotomieunclassified

Operative Ulkustherapie

2003

Hautarzt

View full text Add to dashboard Cite

Surgical treatment of venous leg ulcers is a domain of dermatology. Special knowledge of differential diagnosis considerations and various treatment options are necessary to develop complex, sometimes interdisciplinary treatment plans together with angiologists,vascular surgeons and interventional radiologists. Besides surgical treatment options aiming towards normalization of venous hemodynamics, local options such as shave or total ulcer excision are well established. Additionally, new surgical techniques such as subfascial endoscopic perforator surgery (SEPS) or implantation of iliac stents now have their place in the surgical treatment of venous ulcer disease.

show abstract

“…In contrast to endoscopic fasciotomy, a half closure is carried out regionally or circularly. Even ulcerations lasting for years can be brought to remission with this method [15,16].…”

Section: Crural Fasciosurgerymentioning

confidence: 99%

“…The aim of crural fasciosurgery is to heal ulcerations and to regress trophic disorders. It seems that this technique has an impact on the superficial and deep fascial lodge and thus improves microcirculation [15,16]. Prerequisites for surgical procedures are therefore a modern clinical and apparative diagnosis that records pathological refluxes of the venous system as well as insufficient perforating veins.…”

Section: Indicationmentioning

confidence: 99%