Inelastic bandages maintain their hemodynamic effectiveness over time despite significant pressure loss Giovanni Mosti, MD, Hugo Partsch, MD, PhD Journal.

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Inelastic bandages maintain their hemodynamic effectiveness over time despite significant pressure loss Giovanni Mosti, MD, Hugo Partsch, MD, PhD Journal of Vascular Surgery Volume 52, Issue 4, Pages 925-931 (October 2010) DOI: 10.1016/j.jvs.2010.04.081 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Box and whisker plots show the ejection fraction before (baseline), immediately after compression (t0), and 7 days later (t7) in 18 patients. The horizontal line in the middle of each box indicates the median; the top and bottom borders of the box mark the 75th and 25th percentiles, respectively, and the whiskers mark the 90th and 10th percentiles. Gray, inelastic bandages; white, elastic stockings. ***P < .001 compared with baseline (Friedman test). Journal of Vascular Surgery 2010 52, 925-931DOI: (10.1016/j.jvs.2010.04.081) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Box and whisker plots show the interface pressure in supine and standing position immediately after compression device application in 18 patients. The horizontal line in the middle of each box indicates the median; the top and bottom borders of the box mark the 75th and 25th percentiles, respectively, and the whiskers mark the 90th and 10th percentiles. Gray, inelastic bandages; white, elastic stockings Gray, inelastic bandages (Rosidal); white, elastic stockings. ***P < .001 compared with supine pressure (Friedman test). Journal of Vascular Surgery 2010 52, 925-931DOI: (10.1016/j.jvs.2010.04.081) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Median values of interface pressure exerted by inelastic bandages (Ros, black) compared with elastic stockings (Kit, grey) after application (t0) and 7 days later (t7) in the supine and standing positions in 18 patients. The pressure loss after 7 days is significant for stockings and bandages in supine and in standing positions (P < .001; Wilcoxon test). Journal of Vascular Surgery 2010 52, 925-931DOI: (10.1016/j.jvs.2010.04.081) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 The percentage improvement of ejection fraction (EF) under compression was much higher (P < .001) under inelastic material, initially and after 1 week in 18 patients. It decreased after 7 days for both materials in all patients. Journal of Vascular Surgery 2010 52, 925-931DOI: (10.1016/j.jvs.2010.04.081) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 Positive correlation was found between ejection fraction (EF)(Left) improvement and pressure peaks and (Right) static stiffness index (SSI) at application (day 0) and after 7 days. Journal of Vascular Surgery 2010 52, 925-931DOI: (10.1016/j.jvs.2010.04.081) Copyright © 2010 Society for Vascular Surgery Terms and Conditions