Sang Thrombose Vaisseaux
MENUWhat is the place of venous compression in the prevention of post-thrombotic syndrom? Volume 31, issue 4, July-August 2019
- Key words: venous compression, post-thrombotic syndrome, Villata scale
- DOI : 10.1684/stv.2019.1079
- Page(s) : 147-55
- Published in: 2019
Venous compression is part of the therapeutic arsenal for the treatment of proximal deep vein thrombosis. The main studies showed an interest in the use of compression socks of 30-40 mmHg set up at diagnosis and worn regularly due to the improvement of initial symptoms and prevention of post-thrombotic syndrome. The SOX study questioned the value of compression. The large heterogeneity of the randomized studies and the results of the meta-analyses are at the origin of the absence of a current recommendation. However, the latest studies (OCTAVIA, IDEAL-TVP) show the effectiveness of compression in this indication, subject to good compliance and probably a “patient-dependent” adapted prescription period on the Villalta score of three and six months.
A reassessment of the place of compression is necessary through well-conducted double-blind therapeutic trials, with good observance and taking into account the cost-effectiveness factor.
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