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Sonja R. Blecken, MD, Juan Leonel Villavicencio, MD, Tzu C. Kao, PhD 

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Presentation on theme: "Sonja R. Blecken, MD, Juan Leonel Villavicencio, MD, Tzu C. Kao, PhD "— Presentation transcript:

1 Comparison of elastic versus nonelastic compression in bilateral venous ulcers: A randomized trial 
Sonja R. Blecken, MD, Juan Leonel Villavicencio, MD, Tzu C. Kao, PhD  Journal of Vascular Surgery  Volume 42, Issue 6, Pages (December 2005) DOI: /j.jvs Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Bilateral postthrombotic venous leg ulcers in 1 of the 12 patients. The areas of several ulceractions in 1 limb were determined by computer scanning and added. One limb was randomized to have elastic and the other to have nonelastic compression systems. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Patients were randomized to have non-elastic bandage (CircAid) in 1 extremity and a four-layer elastic in the contralateral. In this patient, CircAid is on the right lower limb. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Effects of hemodynamic obstruction on ulcer healing. Patient with bilateral postthrombotic venous ulcers. The right limb had a pattern of hemodynamic venous reflux documented by duplex scanning. The left limb had a pattern of hemodynamic venous obstruction documented by phlebography and air plethysmography. Both ulcer areas were initially similar. Healing in the right limb occurred readily under a four-layer compression elastic system. As observed, healing on the obstructed limb treated by nonelastic system was protracted. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

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