Prediction of the Biomechanical Effects of Compression Therapy on Deep Veins Using Finite Element Modelling

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• 作者：Pierre-Yves Rohan (1)
  Pierre Badel (1)
  Bertrand Lun (2)
  Didier Rastel (3)
  St茅phane Avril (1)
  
  1. Center for Biomedical and Healthcare Engineering ; Ecole Nationale Sup茅rieure des Mines de Saint-Etienne ; CIS-EMSE ; CNRS ; UMR5146 ; LCG ; 158 cours Fauriel ; 42023 ; Saint-Etienne Cedex 2 ; France
  2. SIGVARIS Applied Research Department ; Saint-Just-Saint-Rambert ; France
  3. Grenoble ; France
  
• 关键词：Calf ; Medical Compression Stockings ; Venous ; Soft tissues
• 刊名：Annals of Biomedical Engineering
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：43
• 期：2
• 页码：314-324
• 全文大小：2,778 KB
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• 刊物类别：Biomedical and Life Sciences
• 刊物主题：Biomedicine
  Biomedicine
  Biomedical Engineering
  Biophysics and Biomedical Physics
  Mechanics
  Biochemistry
  
• 出版者：Springer Netherlands
• ISSN：1573-9686

文摘

Clinicians generally assume that Medical Compression Stockings (MCS) work by reducing vein luminal diameter and, in this way, help to prevent blood pooling. Conflicting results have been reported however in the case of lower leg deep veins which call into question this hypothesis. The purpose of this contribution is to study the biomechanical response of the main lower leg deep veins to elastic compression and muscle contraction with the objective of improving our current understanding of the mechanism by which MCS convey their benefits. The development of a finite-element model of a slice of the lower leg from MR images is detailed. Analysis of the finite-element model shows that the contribution of the MCS to the deep vein diameter reduction is rather small, and in fact negligible, compared to that of the contracting muscle (3 and 9% decrease in the vein cross-sectional area with a grade II compression stocking in the supine and standing positions respectively, while complete collapse was obtained at the end of muscle activation). A more accurate representation of the muscle activation is eventually proposed to study the effect of muscle contraction on a vein wall. The impact on the venous blood draining is discussed.