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                                                             Veins and Lymphatics 2018; volume 7:7630

                                       [Veins and Lymphatics 2018; 7:7630]                                                         [page 73]

Role of standardized eccentric
compression to reduce 
the varicose vein volume of
70%
Vincent Crébassa
Clinique du Millenaire, Montpellier,
France

Abstract
The main pitfall of our treatments is the

presence of blood in the treated varicose
vein. 
Thus, reducing it diameter during and

after treatments is a fundamental therapeu-
tic objective.
Digressive compression don’t alter the

diameter of the saphenous veins explaining
some doubts about it efficiency. This is why
we make eccentric compressions, often arti-
sanal.
The main of this study is the reduction

of the diameter of the varicose vein under
standardized eccentric compression,
according to the territory of these varicose
vein, their supra-facial situations or in the
saphenous compartment situations, accord-
ing to their depth, their nature: primitive or
recurrence, in lying and standing positions. 

We measured 130 legs from 85 patients.
A rectangular window was cut in the device
for measuring the diameters and depths of
varicose veins. The pressure sensor checked
the interface pressure delivered by the com-
pression device.
The average patient age was 60 years

old. Measurements confirmed the existence
of a minimum pressure of 50 mm Hg.  77%
were GSV, 23% were SSM, 95% primary
varicose vein and 5% recurrences. 74% of
varicose veins had a sub-fascial localiza-
tion, 26% supra-fascial. 
In lying position the superficial varicose

veins reduce their diameter by 43%, the
saphenous veins by 36%. In standing posi-
tion respectively 36% and 33%.
This external tumescence allows a

reduction in diameter of at least 43 %, thus,
70% reduction in their volume. This reduc-
tion may be even better with an additional
75% stretch. It can be placed on the calf or
on the thigh during the treatment but espe-
cially after the treatments to reduce side
effects (local pains, pigmentations,
thrombectomies), complications and pro-
motes harmonious fibrosis. It allows the
reduction of the volumes and concentra-
tions injected in the case of foam sclerosis.

References
1. Jünger M, Konschake W, Haase H, Riebe
H. Compression stockings with inter-
face pressure fall and rise from the
ankle to the mid calf. Veins and
Lymphatics 2017;6:6632.

2. Chi Y-W. A new compression pressure
measuring device. Veins and
Lymphatics 2017;6:6636.

3. Chassagne F, Badel P, Convert R, et al.
Experimental and numerical approach
for the investigation of interface pres-
sure applied by compression bandages.
Veins and Lymphatics 2017;6:6626.

Correspondence: Vincent Crébassa, Clinique
du Millenaire, 220 Boulevard Pénélope,
34000 Montpellier, France. 
E-mail: vcrebassa@club-internet.fr

Conference presentation: International
Compression Club (ICC) Meeting, Paris,
2017. 
This work is licensed under a Creative
Commons Attribution 4.0 License (by-nc 4.0).

©Copyright V. Crébassa, 2018
Licensee PAGEPress, Italy
Veins and Lymphatics 2018; 7:7630
doi:10.4081/vl.2018.7630

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