Terapia de compresión posterior al tratamiento invasivo de venas superficiales de las extremidades inferiores
Revista Argentina de Cirugía Cardiovascular
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venas

Cómo citar

Lurie, F., K. Lal, B., Antignani, P. L., Blebe, J., Bush, R., Caprini, J., Davies, A., Forrestal, M., Jacobowitz, G., Kalodiki, E., Killewich, L., Lohr, J., Ma, H., Mosti, G., Partsch, H., Rooke, T., & Wakefield, T. (2022). Terapia de compresión posterior al tratamiento invasivo de venas superficiales de las extremidades inferiores: Recomendaciones de Práctica Clínica del Foro Venoso Americano, Sociedad de Cirugía Vascular, el Colegio Americano de Flebología, la Sociedad de Medicina Vascular y la Unión Internacional de Flebología. Revista Argentina De Cirugía Cardiovascular, 20(1), 13–27. Recuperado a partir de https://raccv.com.ar/index.php/revistaraccv/article/view/34

Resumen

Recomendación 1.1: Compresión después de ablación térmica o escisión de venas safenas. Cuando sea posible, sugerimos que se debe usar compresión (medias elásticas o vendaje) después de procedimientos quirúrgicos o térmicos, para eliminar venas varicosas. [GRADO 2; NIVEL DE EVIDENCIA - C] Recomendación 1.2: Dosis de compresión posterior a ablación térmica o escisión de venas varicosas. Si se van a utilizar dispositivos de compresión después del procedimiento, en pacientes sometidos a ablación o procedimientos quirúrgicos en sus venas safenas, la mayor reducción de dolor posoperatorio se logra con presiones> 20 mm Hg, junto con almohadillas excéntricas colocadas directamente sobre la vena donde se realizó la operación o ablación. [GRADO 2; NIVEL DE EVIDENCIA - B] Recomendación 2.1: Duración de la terapia de compresión después de la ablación térmica o escisión de venas safenas. En ausencia de pruebas convincentes, recomendamos el mejor juicio clínico para determinar la duración de la terapia de compresión después del tratamiento. [MEJORES PRÁCTICAS] Recomendación 3.1: Terapia de compresión después de escleroterapia. Sugerimos terapia de compresión inmediatamente después del tratamiento de venas superficiales con escleroterapia, para mejorar los resultados de la escleroterapia. [GRADO 2; NIVEL DE EVIDENCIA - C] Recomendación 3.2: Duración de la terapia de compresión después de escleroterapia. En ausencia de evidencias convincentes, recomendamos el mejor juicio clínico para determinar la duración de la terapia de compresión después de la escleroterapia. [MEJORES PRÁCTICAS] Recomendación 4.1: Compresión después del tratamiento venoso superficial en pacientes con úlcera venosa en la pierna. En pacientes con úlcera venosa en la pierna recomendamos terapia de compresión, en lugar de terapia sin compresión, para aumentar la tasa de curación de la úlcera venosa de la pierna y disminuir el riesgo de recurrencia de la úlcera. [GRADO 1; NIVEL DE EVIDENCIA - B] Recomendación 4.2: Compresión después del tratamiento venoso superficial en pacientes con úlcera mixta arterial y venosa en la pierna. En pacientes con úlcera venosa en la pierna y enfermedad arterial subyacente, sugerimos limitar el uso de compresión a pacientes con índice tobillo-brazo superior a 0,5 o si la presión absoluta del tobillo es> 60 mm Hg. [GRADO 2; NIVEL DE EVIDENCIA - C]

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