Carlos Sánchez Fernández de la Vega*

Fingoi Centre/Primary Care-Galego Health Service, Lugo, Spain

*Corresponding Author: Carlos Sánchez Fernández de la Vega, Fingoi Centre/Primary Care-Galego Health Service, Lugo, Spain.

Received: April 04, 2025; Published: May 06, 2025

Abstract

The treatment of vascular ulcers, both venous and arterial, primarily relies on compression therapy, which not only supports wound healing but also improves venous circulation by reducing venous hypertension. However, many patients prematurely discontinue compression therapy once the ulcer has healed, perceiving wound closure as the endpoint of treatment. This early cessation increases the risk of ulcer recurrence, as the underlying pathology remains untreated. While compression has traditionally been contraindicated in arterial ulcers, recent studies suggest that its controlled application can facilitate healing, provided arterial perfusion is adequate (ankle-brachial index ≥ 0.6). These findings open new therapeutic avenues that require careful, long-term follow-up.

This principle is exemplified by a patient with valvular heart disease who, following cardiac surgery in 2015, developed a vascular ulcer four years later. The ulcer was successfully treated using double focal compression bandaging, achieving complete healing within six months. Rather than discontinuing compression therapy, the patient transitioned to the indefinite use of compression stockings, ensuring ongoing vascular support and reducing the risk of recurrence. This case highlights the fundamental role of patient education and adherence strategies in maintaining the benefits of compression therapy over time.

Emerging evidence suggests that, in patients with chronic venous insufficiency, sustained compression may increase cardiac preload, leading to chamber distension and stimulating the secretion of natriuretic peptides as a compensatory mechanism. Further research is necessary to fully understand the cardiovascular impact of prolonged compression therapy and its long-term effects.

Keywords: Vascular Ulcers; Double Focal Compression Bandaging; Wound Healing; Cardiovascular Benefits

References

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Citation

Citation: Carlos Sánchez Fernández de la Vega. “Double Focal Compression Bandaging in Vascular Ulcers: Balancing Efficacy and Cardiovascular Effects". Acta Scientific Clinical Case Reports 6.6 (2025): 04-11.

Copyright

Copyright: © 2025 Carlos Sánchez Fernández de la Vega. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.