Lymphedema
Conditions
Brief summary
The appearance of revascularization edema of the lower limb is a frequent complication in peripheral vascular surgery. It can lead to a delay in healing and even to trophic disorders. The prevention and treatment of this complication have so far been limited to postural measures (elevation of the limbs), in the absence of other recommendations and given the contraindication of elastic compression. Inelastic compression is another mode of compression sometimes used in the treatment of lymphedema. It exerts a stable continuous pressure regardless of the patient's position. The investigator's aim is to demonstrate that compression with inelastic bands, applied under good conditions, does not have a major effect on distal arterial vascularization in arterial patients who have undergone revascularization by supra-articular bypass or endovascular treatment of the lower limb.
Interventions
DEVICEInelastic compression
Inelastic compression used in the treatment of lymphedema
Sponsors
Centre Hospitalier Universitaire de Nice
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
1. patients over 18 years of age 2. arteriopathic patients requiring femoropopliteal revascularization by bypass surgery who have been revascularized 3. signature of an informed consent 4. person affiliated or beneficiary of a social security plan
Exclusion criteria
1. arterial bypasses under the leg or distal joints 2. critical ischemia 3. patients operated on for acute ischemia 4. pregnant or breast-feeding women 5. severe cardiac insufficiency 5\) severe peripheral neuropathy 6) allergies to the components of the tapes 7) persons deprived of liberty by judicial or administrative decision 8) persons under legal protection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluating the safety of inelastic compression | day 5 | no skin complications OR a drop in toe blood pressure and/or transcutaneous oxygen pressure (TCPO2) and/or TMS of 20% before and after placement of the compression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| threshold of cPSI below which the application of inelastic compression results in altered arterial flow. | day 5 | Determine the threshold of IPSc values before and after compression placement |
| toe pressure below which the application of inelastic compression results in altered arterial flow. | day 5 | Determine the toe pressure based on TCPO2 values before and after compression placement |
Countries
France
Contacts
Primary ContactPASCAL GIORDANA
Outcome results
None listed