Study of Venous Outflow From the Lower Limbs in Patients With Pelvic Varicosities as a New Strategy for Compression Treatment of Pelvic Varicose Veins and Varicose Veins of the Lower Limb

Status: Recruiting
Location: See location...
Intervention Type: Diagnostic test
Study Type: Observational
SUMMARY

Compression therapy is basic treatment for chronic venous disease (CVD) of the lower limbs. Numerous studies have demonstrated the efficacy and safety of compression therapy in relieving symptoms such as pain, venous edema, leg heaviness and fatigue, as well as accelerating the healing of venous ulcers. It has been established that сompression therapy is indicated for patients with both minimally expressed manifestations of CVD and severe forms of the disease. At the same only one study has been conducted to assess the correction of venous outflow from the lower limbs and pelvis in patients with pelvic varicose vein (PVV) and pelvic congestion syndrome (PCS). However, the incidence of this pathology ranges from 15 to 30% in the female population. The cost to the healthcare system of treating these patients in the United States exceeds $2 billion. To date, the options and indications for compression therapy in patients with concomitant PVV and CVD have not been defined. The rational use of compression in this cohort of patients may contribute to the improvement of effective conservative treatment. In addition, inappropriate prescription of compression to patients with pelvic venous disease (which can be observed in real clinical practice) may discredit this simple, effective and safe therapeutic method. In addition, the research devoted to the problem of compression treatment of PVV will contribute to the development of new special compression products aimed at accelerating venous outflow from the pelvic organs. It can be assumed that this will serve as a stimulus for obtaining new data on the therapeutic effects of compression and create conditions for the creation of new technological directions in the production of compression knitwear.

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 18
Maximum Age: 40
Healthy Volunteers: f
View:

• Patient age from 18 to 40 years;

• Presence of pelvic varicose veins according to DUS data;

• Reflux in the pelvic veins for more than 1 second before this DUS;

• Reflux in the superficial veins of the lower limbs.

Locations
Other Locations
Russian Federation
Ananstsia Grishenkova
RECRUITING
Moskva
Contact Information
Primary
Sergey G Gavrilov, MD, PhD
gavriloffsg@mail.ru
+79169299947
Backup
Anatoly V Karalkin, MD, PhD
avkrar@list.ru
+79166196821
Time Frame
Start Date: 2023-05-12
Estimated Completion Date: 2024-12-25
Participants
Target number of participants: 90
Treatments
Symptomatic pelvic varicose veins (PVV)
40 patients will include patients with symptomatic PVV (pelvic pain, dyspareunia, heaviness in the hypogastrium) and without symptoms and signs of CVD.
Asymptomatic PVV
40 pdtients will consist of women with asymptomatic PVV with signs of CVD.
varicose veins of the lower limb
10 patients with varicose veins of the lower limb without PVV and pelvic congestion syndrome (PCS)
Sponsors
Leads: Pirogov Russian National Research Medical University

This content was sourced from clinicaltrials.gov