Calf extra-Fascial compartment area affects calf muscle pumping action: an air plethysmography and computed tomography study.

Autor:	Mitsuoka H; Department of Vascular Surgery, Aichi Medical University, Aichi, Japan., Ohta T; Department of Vascular Surgery, Daiyukai Daiichi Hospital, Aichi, Japan., Arima T; Department of Vascular Surgery, Aichi Medical University, Aichi, Japan., Sugimoto I; Department of Vascular Surgery, Aichi Medical University, Aichi, Japan.; Department of Healthcare Quality and Safety, Aichi Medical University, Aichi, Japan., Orimoto Y; Department of Vascular Surgery, Aichi Medical University, Aichi, Japan., Kodama A; Department of Vascular Surgery, Aichi Medical University, Aichi, Japan., Ishibashi H; Department of Vascular Surgery, Aichi Medical University, Aichi, Japan.
Jazyk:	angličtina
Zdroj:	Phlebology [Phlebology] 2023 Jun; Vol. 38 (5), pp. 334-340. Date of Electronic Publication: 2023 May 03.
DOI:	10.1177/02683555231173747
Abstrakt:	Objectives: We aimed to elucidate whether lower limb extra-fascial compartment and muscle areas affect the calf muscle pumping action on lower limbs. Method: This study included 90 patients (180 limbs) who underwent preoperative air plethysmography (APG) and preoperative non-contrast computed tomography (CT) of the lower limbs for diagnosis of unilateral or bilateral primary varicose veins. A correlation between cross-sectional CT images and preoperative APG was confirmed. Cross-sectional CT was used to measure the extra-fascial compartment and muscle areas of the calf. The lower limbs were divided into two groups: those that were normal and those with primary varicose veins. Results: The extra-fascial compartment area was significantly correlated with the ejection fraction in normal (r = 0.388, n = 53, p = 0.004) and varicose limbs (r = 0.232, n = 91, p = 0.027). Conclusions: In normal and varicose limbs, evaluation of ejection fraction, an indicator of muscle pumping, requires consideration of the extra-fascial compartment area.
Databáze:	MEDLINE
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