Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.002116
Jornal Vascular Brasileiro
Review

The clinical importance of air plethysmography in the assessment of chronic venous disease

Importância clínica da pletismografia a ar na avaliação da doença venosa crônica

Nei Rodrigues Alves Dezotti, Marcelo Bellini Dalio, Maurício Serra Ribeiro, Carlos Eli Piccinato, Edwaldo Edner Joviliano

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Abstract

Air plethysmography is a non-invasive test that can quantify venous reflux and obstruction by measuring volume changes in the leg. Its findings correlate with clinical and hemodynamic measures. It can quantitatively assess several components of venous hemodynamics: valvular reflux, calf muscle pump function, and venous obstruction. Although clinical uses of air plethysmography have been validated, it is used almost exclusively for medical research. Air plethysmography can be used to assess chronic venous disease, to evaluate improvement after venous surgery, to diagnose acute and past episodes of deep venous thrombosis, to evaluate compression stocking therapy, to study the physiological implications of high-heeled shoes in healthy women, and even to evaluate the probability of ulcer healing.

Keywords

air plethysmography; chronic venous disease; varicose veins; venous thrombosis; leg ulcer.

Resumo

A pletismografia a ar é um método não invasivo que pode quantificar refluxo e obstrução venosa medindo alterações no volume das pernas. Seus achados se correlacionam com parâmetros clínicos e hemodinâmicos. Ela pode fornecer informações quantitativas dos diferentes componentes da hemodinâmica venosa: refluxo valvular, função de bomba muscular da panturrilha e obstrução venosa. Apesar de ter seu uso clínico validado, a pletismografia a ar é usada quase que exclusivamente para pesquisa. Ela pode ser usada para avaliar a doença venosa crônica, mensurar o ganho hemodinâmico após cirurgia venosa, diagnosticar trombose venosa profunda atual ou prévia, avaliar os efeitos da elastocompressão, estudar as implicações fisiológicas do uso de salto alto em mulheres e também avaliar a probabilidade de cura de uma úlcera venosa.

Palavras-chave

pletismografia a ar; doença venosa crônica; varizes; trombose venosa; úlcera de perna.

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