Elastic compression stockings are recommended in the treatment venous insufficiency. Degressive compressive stockings have been used for many decades and are characterized by a high pressure applied at the ankle and a decreasing pressure from the ankle to the knee. Progressive compressive stockings were developed to have a maximal pressure at the calf. This concept is based on the calf pump role in the venous return. Patients with PAD (Peripheral Arterial Disease) often suffer from venous insufficiency. But elastic compression stockings are strictly contraindicated for patients with PAD because highest pressures on ankle could slow down the superficial microcirculation. On patients with PAD and venous insufficiency, the progressive compressive stockings could be well indicated. Strongest pressure at the calf should increase the pump effect and the muscle mechanical efficiency during the walk without deleterious effect.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
18
Patients wear contention socks during 15 days.
CHU de Saint-Etienne
Saint-Etienne, France
Clinique Mutualiste Chrirugicale
Saint-Etienne, France
the absence of worsening of PAD after 15 days of progressive compressive stockings ware
The primary endpoint is a safety one: the absence of worsening of PAD after 15 days of progressive compressive stockings ware. A worsening is defined as: * Worsening of the systolic ankle pressure index (SPI) defined by a relative reduction of the SPI higher than 15% compared to the index value at inclusion, * Worsening of the toe-brachial index (TBI) defined by a relative reduction of TBI higher than 15% compared to the index value at inclusion, * Relative reduction of the number of active and repetitive ankle extensions in upright position higher than 25% compared to the index value at inclusion. If at least one of these criteria is met, the PAD will be considered as worsening. If none of these criteria is met, the patient will be considered as no worsening.
Time frame: Day 15
The evolution of the systolic ankle pressure index (SPI) defined by a relative reduction of the SPI higher than 15% compared to the index value at inclusion,
Time frame: Day 15
The evolution of the toe-brachial index (TBI) defined by a relative reduction of TBI higher than 15% compared to the index value at inclusion,
Time frame: Day 15
The relative reduction of the number of active and repetitive ankle extensions in upright position higher than 25% compared to the index value at inclusion.
Time frame: Day 15
Change of the walking distance on treadmill compared to the walking distance at inclusion
Time frame: Day 15
Peripheral artery disease symptoms: muscle pain after physical effort, aches, cooling sensation, and paresthesia.
Time frame: Day 15
Venous insufficiency symptoms
Time frame: Day 15
Leg heaviness and tiredness leg
Time frame: Day 15
Pain leg evaluated by visual analogic scale
Time frame: Day 15
Absence of trophic disorder (new wound or ulcer)
Time frame: Day 15
Progressive compressive stockings compliance
Progressive compressive stockings compliance will be evaluated by the number of patients stopping wearing the compression before day 15 and reasons for stopping. Patient feeling will also be recorded as free text.
Time frame: Day 15
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