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Article ; Online: Performance of an adjustable compression wrap in occupational leg swelling.

Taha, Wassila / Benigni, Jean Patrick / Uhl, Jean François / Carpentier, Patrick H / Filori, Pascal / Bishara, Rashad

2024 , Page(s) 2683555231226385

Abstract: Background: Edema in some subjects worsens over time and wraps help to reduce the leg volume.: Material and methods: An adjustable compression wrap was tried on volunteers for 5 h and volumes measured in each limb before and after wrapping using a 3D ...

Abstract	Background: Edema in some subjects worsens over time and wraps help to reduce the leg volume. Material and methods: An adjustable compression wrap was tried on volunteers for 5 h and volumes measured in each limb before and after wrapping using a 3D surface scanner (HandySCAN 3D®) to estimate the volume of the leg. The contralateral leg was used as control. Results: We observed a significant decrease in volume in the wrap legs and an increase in the control legs ( Conclusions: Using the Readywrap® for 5 hours significantly reduces the leg volume. This study enables Readywrap to be studied in a population that is easy to observe in the context of a research program. The Handyscan3D® was shown accurate and reproducible to assess leg volume in future studies.
Language	English
Publishing date	2024-01-09
Publishing country	England
Document type	Journal Article
ZDB-ID	645172-x
ISSN	1758-1125 ; 0268-3555
ISSN (online)	1758-1125
ISSN	0268-3555
DOI	10.1177/02683555231226385
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Article ; Online: Patient Education in Spa Resorts: Experience from a French National Program for Patients with Chronic Venous Insufficiency.

Carpentier, Patrick H / Satger, Bernadette / Sandrin, Brigitte

International journal of environmental research and public health

2022 Volume 19, Issue 3

Abstract: The prognosis of chronic venous insufficiency (CVI) is greatly depending upon the ability of the patients to optimize their health-related behaviors (mainly compliance to compression stockings, physical activity and diet). As this is usually challenging ... ...

Abstract	The prognosis of chronic venous insufficiency (CVI) is greatly depending upon the ability of the patients to optimize their health-related behaviors (mainly compliance to compression stockings, physical activity and diet). As this is usually challenging for the patients, we developed a therapeutic education program (TEP) aiming at helping them to achieve these optimizations. We report here the preliminary results obtained with this program. This structured TEP was developed by a working group of 15 health professionals to be used during the regular French spa 3-week treatment course for CVI patients. The program included three interactive workshops aiming at improving the patients' knowledge, skills and motivation, two educational consultations allowing to set and follow-up their personal action plans and a built-in evaluation. It was implemented in spa resorts specialized in CVI. Among the first 150 patients (116 women and 34 men, mean age 69 years old (SD 8 years), 49% had post-thrombotic disease. Compliance to the education workshops was 98%. After a 3-month follow-up, 83% of the patients fully achieved at least one behavioral objective. Quality of life, as assessed by the CIVIQ 2 auto-questionnaire, improved at 3 months (
MeSH term(s)	Aged ; Chronic Disease ; Female ; Humans ; Male ; Motivation ; Patient Education as Topic ; Quality of Life ; Venous Insufficiency/therapy
Language	English
Publishing date	2022-01-21
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19031176
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Article: The birth of the European Society for Vascular Medicine (ESVM) - a new step forward in the development of vascular medicine.

Carpentier, Patrick H

VASA. Zeitschrift fur Gefasskrankheiten

2013 Volume 42, Issue 5, Page(s) 315–316

MeSH term(s)	Cooperative Behavior ; Europe ; Humans ; International Cooperation ; Societies, Medical/organization & administration ; Specialties, Surgical ; Vascular Diseases/diagnosis ; Vascular Diseases/surgery ; Vascular Diseases/therapy ; Vascular Surgical Procedures
Language	English
Publishing date	2013-09
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	120977-2
ISSN	1664-2872 ; 0301-1526
ISSN (online)	1664-2872
ISSN	0301-1526
DOI	10.1024/0301-1526/a000295
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Article: Video-capillaroscopy, a promising tool for the clinical evaluation of patients with chronic venous insufficiency.

Carpentier, Patrick H / Trolliet, Corine / Cornu-Thénard, André / Chamberod, Rémy / Laurès, Jérôme / Noilhetas, Janick / Chauvin, Eric

Frontiers in medicine

2023 Volume 10, Page(s) 1144102

Abstract: Background: The cutaneous microangiopathy plays a key role in the development of the skin clinical lesions of venous insufficiency. Capillaroscopy allows a non-invasive observation of the superficial skin capillaries of the lower leg, which have ... ...

Abstract	Background: The cutaneous microangiopathy plays a key role in the development of the skin clinical lesions of venous insufficiency. Capillaroscopy allows a non-invasive observation of the superficial skin capillaries of the lower leg, which have previously been shown to be altered in patients with advanced venous disease. As it is now available in a friendly, easy to handle way through modern video devices, we report our findings in a short series of patients with C3-C5 chronic venous disorders using this technique. Methods: A total of 21 patients with venous insufficiency (C3-C5 on at least one leg) underwent a capillaroscopic examination of both legs and pictures recorded from the sites of the most severe venous skin lesions. This was performed with a CapXview handheld video-capillaroscope (×100 magnification), allowing easy manual measurement of maximum capillary bulk diameter and capillary density. Results: Dramatic changes in capillary density, size, and shape were easily observed at the site of the venous skin lesions. A significant negative linear relationship was found between capillary density and the "C" classes ( Conclusion: Video-capillaroscopy allows a direct observation of the cutaneous venous microangiopathy and provides the possibility to measure capillary density which allows its quantification. This simple to use technique shows the potential for a more precise follow-up and treatment evaluation of the cutaneous consequences of venous disease, which remains to be further investigated.
Language	English
Publishing date	2023-02-16
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2775999-4
ISSN	2296-858X
ISSN	2296-858X
DOI	10.3389/fmed.2023.1144102
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Article ; Online: Quantification of early cutaneous manifestations of chronic venous insufficiency by automated analysis of photographic images: Feasibility and technical considerations.

Becker, François / Fourgeau, Patrice / Carpentier, Patrick H / Ouchène, Amina

Phlebology

2017 Volume 33, Issue 5, Page(s) 309–314

Abstract: We postulate that blue telangiectasia and brownish pigmentation at ankle level, early markers of chronic venous insufficiency, can be quantified for longitudinal studies of chronic venous disease in Caucasian people. Objectives and methods To describe a ... ...

Abstract	We postulate that blue telangiectasia and brownish pigmentation at ankle level, early markers of chronic venous insufficiency, can be quantified for longitudinal studies of chronic venous disease in Caucasian people. Objectives and methods To describe a photographic technique specially developed for this purpose. The pictures were acquired using a dedicated photo stand to position the foot in a reproducible way, with a normalized lighting and acquisition protocol. The image analysis was performed with a tool developed using algorithms optimized to detect and quantify blue telangiectasia and brownish pigmentation and their relative surface in the region of interest. To test the short-term reproducibility of the measures. Results The quantification of the blue telangiectasia and of the brownish pigmentation using an automated digital photo analysis is feasible. The short-term reproducibility is good for blue telangiectasia quantification. It is a less accurate for the brownish pigmentation. Conclusion The blue telangiectasia of the corona phlebectatica and the ankle flare can be assessed using a clinimetric approach based on the automated digital photo analysis.
MeSH term(s)	Algorithms ; Ankle ; Chronic Disease ; Diagnostic Imaging ; European Continental Ancestry Group ; Foot ; Humans ; Image Interpretation, Computer-Assisted ; Observer Variation ; Photography ; Pigmentation ; Reproducibility of Results ; Severity of Illness Index ; Telangiectasis/diagnostic imaging ; Telangiectasis/physiopathology ; Varicose Veins/diagnostic imaging ; Varicose Veins/physiopathology ; Venous Insufficiency/diagnostic imaging ; Venous Insufficiency/physiopathology
Language	English
Publishing date	2017-04-12
Publishing country	England
Document type	Journal Article
ZDB-ID	645172-x
ISSN	1758-1125 ; 0268-3555
ISSN (online)	1758-1125
ISSN	0268-3555
DOI	10.1177/0268355517703840
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Article: Phénomène de Raynaud. Orientation diagnostique.

Carpentier, Patrick H

La Revue du praticien

2005 Volume 55, Issue 1, Page(s) 103–107

Title translation	Raynaud's phenomenon.
MeSH term(s)	Adolescent ; Carpal Tunnel Syndrome/complications ; Child ; Connective Tissue Diseases/complications ; Diagnosis, Differential ; Female ; Finger Injuries/complications ; France/epidemiology ; Humans ; Hypothyroidism/complications ; Male ; Occupational Diseases/diagnosis ; Prevalence ; Raynaud Disease/chemically induced ; Raynaud Disease/diagnosis ; Raynaud Disease/epidemiology ; Raynaud Disease/etiology ; Risk Factors ; Sex Factors ; Vasoconstrictor Agents/adverse effects ; Vibration/adverse effects
Chemical Substances	Vasoconstrictor Agents
Language	French
Publishing date	2005-01-15
Publishing country	France
Document type	Journal Article
ZDB-ID	205365-2
ISSN	2101-017X ; 0035-2640
ISSN (online)	2101-017X
ISSN	0035-2640
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Ua VI Zs.433: Show issues

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Article: Acrosyndromes sclérodermiques.

Carpentier, Patrick H

La Revue du praticien

2002 Volume 52, Issue 17, Page(s) 1891–1895

Abstract: In patients with systemic sclerosis, two main subsets of vascular acrosyndromes can be found: Raynaud's phenomenon and digital ulcerations. A severe Raynaud's phenomenon is found in almost every patient with systemic sclerosis. Most often, it is the ... ...

Title translation	Sclerodermic acrosyndromes.
Abstract	In patients with systemic sclerosis, two main subsets of vascular acrosyndromes can be found: Raynaud's phenomenon and digital ulcerations. A severe Raynaud's phenomenon is found in almost every patient with systemic sclerosis. Most often, it is the first sign announcing the emergence of the disease and the hypothesis of subclinical scleroderma should be evaluated in every patient with apparently isolated Raynaud's phenomenon. Digital ulcerations can show several clinical aspects: ischemic micro-ulcerations and pitting scars of the finger tips, nailbed and nailfold lesions and digital necrosis, but also chronic ulcerations of the dorsal skin surface of the finger joints and ulcerated dermal calcifications, the origin of which is not only ischemic. First line treatment of such acro-syndromes is based upon cold avoidance and calcium-blocking agents. In the most severe cases, hospitalization in specialized centers is required, where customized physiotherapy and perfusions of prostaglandins or dextrans will be performed.
MeSH term(s)	Calcium Channel Blockers/therapeutic use ; Fingers/pathology ; Humans ; Nails/pathology ; Raynaud Disease/etiology ; Raynaud Disease/pathology ; Raynaud Disease/therapy ; Scleroderma, Systemic/complications ; Skin Ulcer/etiology
Chemical Substances	Calcium Channel Blockers
Language	French
Publishing date	2002-11-01
Publishing country	France
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	205365-2
ISSN	2101-017X ; 0035-2640
ISSN (online)	2101-017X
ISSN	0035-2640
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Article ; Online: Randomized trial of balneotherapy associated with patient education in patients with advanced chronic venous insufficiency.

Carpentier, Patrick H / Satger, Bernadette

Journal of vascular surgery

2009 Volume 49, Issue 1, Page(s) 163–170

Abstract: Objectives: Except for compression therapy, physical therapy has scarcely been evaluated in the treatment of chronic venous disorders (CVD). Spa treatment is a popular way to administer physical therapy for CVD in France, but its efficacy has not been ... ...

Abstract	Objectives: Except for compression therapy, physical therapy has scarcely been evaluated in the treatment of chronic venous disorders (CVD). Spa treatment is a popular way to administer physical therapy for CVD in France, but its efficacy has not been evaluated yet. This study aimed to assess the efficacy of balneotherapy associated with patient education, as performed in the spa resort of La Léchère, in patients with advanced chronic venous insufficiency (CEAP clinical classes C4/C5). Methods: The study was a randomized controlled trial, spa therapy being administered on top of the usual medical care. Evaluation was by a blinded independent investigator. Subjects were patients with primary or post-thrombotic CVD with skin changes but no active ulcer (C4a, C4b, or C5), living in Grenoble area, and willing to undergo a spa treatment course in La Léchère. The treated group had the three week spa treatment course in La Léchère, soon after randomization; the control group also had a spa treatment, but starting at day 365. The treatment consisted of four balneology sessions per day, six days a week during three weeks, and three educational workshops. An independent follow-up was performed in Grenoble hospital every three months for 15 months. The main outcome criterion was the severity of the skin changes, as evaluated by means of malleolar chromametry. Quality of life, as measured by the Chronic Venous Insufficiency Questionnaire 2 scale, a visual analog scale (VAS) for leg symptoms, and the occurrence of leg ulcers were used as secondary criteria. The year after spa treatment in the treated group was compared with the year before spa treatment in the control group. Results: Fifty-nine subjects were enrolled (29 in the treatment group and 30 in the control group). No statistically significant difference between groups was found at study onset regarding age, sex, etiology, CEAP "C" class, and the outcome variables. After treatment, chromametry showed significantly decreased pigmentation and erythema in the treatment group compared with the controls (P < .01). Quality of life (P < .01) and symptoms (P < .001) also improved significantly. These differences remained significant after one year follow-up. The control patients improved similarly after their own spa treatment (day 450). Conclusion: This study shows that spa therapy, associating balneotherapy and patient education, is able to improve significantly the skin trophic changes of the CVD patients and their CVD related quality of life and symptoms. This effect is of large magnitude and remains significant one year after the treatment course.
MeSH term(s)	Aged ; Balneology ; Chronic Disease ; Erythema/etiology ; Erythema/pathology ; Erythema/prevention & control ; Female ; Health Resorts ; Humans ; Male ; Middle Aged ; Pain/etiology ; Pain/prevention & control ; Pain Measurement ; Patient Education as Topic ; Quality of Life ; Severity of Illness Index ; Single-Blind Method ; Skin/pathology ; Skin Pigmentation ; Time Factors ; Treatment Outcome ; Varicose Ulcer/etiology ; Varicose Ulcer/pathology ; Varicose Ulcer/prevention & control ; Venous Insufficiency/complications ; Venous Insufficiency/pathology ; Venous Insufficiency/therapy
Language	English
Publishing date	2009-01
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	605700-7
ISSN	1097-6809 ; 0741-5214
ISSN (online)	1097-6809
ISSN	0741-5214
DOI	10.1016/j.jvs.2008.07.075
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Article ; Online: Impact of an educational program on the quality of life of patients with lymphedema: A preliminary evaluation.

Blaise, Sophie / Satger, Bernadette / Pernod, Gilles / Richaud, Cécile / Villemur, Béatrice / Carpentier, Patrick H

Journal of vascular surgery. Venous and lymphatic disorders

2017 Volume 5, Issue 5, Page(s) 715–722.e1

Abstract: Objective: We report on the preliminary evaluation of a well-designed program, Living with Lymphedema. This longitudinal cohort study assessed patients' quality of life using questionnaires. Our main objective was to evaluate the satisfaction of the ... ...

Abstract	Objective: We report on the preliminary evaluation of a well-designed program, Living with Lymphedema. This longitudinal cohort study assessed patients' quality of life using questionnaires. Our main objective was to evaluate the satisfaction of the patients and their adherence to the program. This was done using a specific questionnaire of satisfaction as well as by noting patients' adherence to the program (number of patients attending all three consultations). The secondary objective was to assess the effect of the program on the patient's quality of life. The assessment criteria were the evolution of the Medical Outcomes Study 36-Item Short Form Health Survey and EuroQol questionnaire scores between the first (C1) and third (C3) consultations. Methods: The Living with Lymphedema program targeted all patients with lymphedema in the Grenoble (France) conurbation and within the GRANTED health care network that includes vascular medicine specialists, primary care physicians, physical therapists, and dietitians in the Alpine region of France. All studied patients were ambulatory patients. The GRANTED network took care only of the educational aspect of the disease. All patients with primary or secondary lymphedema were offered the Living with Lymphedema program, whatever their age and the location of the lymphedema (upper or lower limbs). The collection of patient data conformed to the ethical and administrative regulations of the regional health authority. Grenoble Institutional Review Board (CPP Sud-Est V; No. 5891) approval for the study was specifically obtained for this evaluation on December 24, 2012. The program was built around one-to-one consultations, group workshops, and more specialized appointments. It was complementary to the routine medical care received by the patient (not evaluated in this study). It proposed three individual "educational" consultations, seven group workshops, and two specialized consultations with a dietitian. All the consultations or workshops were led by certified professionals trained in therapeutic education. Results: The cohort was the 34 patients included in the program. We found a significant improvement in the physical dimension of the Medical Outcomes Study 36-Item Short Form Health Survey score (P = .01) between C1 and C3 but not for the psychic dimension. Visual analog scale scores of the ability to cope with the lymphedema showed a statistically significant improvement between C1 and C3 (P = .05). No difference was observed in adherence to compression therapy. Conclusions: This therapeutic educational program showed a significant improvement in several criteria of quality of life and in the autonomy of patients with lymphedema.
MeSH term(s)	Adaptation, Psychological ; Aged ; Chronic Disease ; Female ; France ; Humans ; Longitudinal Studies ; Lymphedema/therapy ; Male ; Middle Aged ; Patient Education as Topic/methods ; Quality of Life ; Surveys and Questionnaires
Language	English
Publishing date	2017
Publishing country	United States
Document type	Journal Article
ISSN	2213-3348
ISSN (online)	2213-3348
DOI	10.1016/j.jvsv.2017.06.004
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Article: Paroxysmal finger haematoma--a benign acrosyndrome occurring in middle-aged women.

Carpentier, Patrick H / Maricq, Hildegard R / Biro, Christine / Jiguet, Myriam / Seinturier, Christophe

VASA. Zeitschrift fur Gefasskrankheiten

2016 Volume 45, Issue 1, Page(s) 57–62

Abstract: Background: Paroxysmal finger haematoma (PFH) is an under-recognised vascular acrosyndrome with no epidemiological description to date. The aim of this work was to evaluate the prevalence, risk factors and clinical correlates of PFH in a population- ... ...

Abstract	Background: Paroxysmal finger haematoma (PFH) is an under-recognised vascular acrosyndrome with no epidemiological description to date. The aim of this work was to evaluate the prevalence, risk factors and clinical correlates of PFH in a population-based sample of subjects and to describe their semiological characteristics. Patients and methods: This cross-sectional study of random samples of the general population in three geographic areas of France involved 802 subjects, 548 women and 254 men, aged 18 to 84 years. The diagnosis of PFH was made from a report by the subject of a history of recurrent haematoma in the fingers with a sudden, painful and unexpected occurrence. Diagnosis of associated conditions and evaluation of lifestyle variables were obtained through standardised medical interview and examination. Results: A history of PFH was detected in 71 subjects, with a prevalence of 1.2% in men and 12.4% in women; there was no significant regional variation. Onset before 40 years of age was rare. Besides female sex and age, no socio-economical nor lifestyle risk factors were detected. PFH was associated with Raynaud phenomenon and a history of chilblains, but no link with any health threatening disease was found. In addition to the sudden onset of pain and hematoma, the main clinical features were a frequent digital swelling during the painful attack, and their predominant location on the volar side of the first and second phalanges of the third or second fingers of the dominant hand. Conclusions: PFH is a benign phenomenon, frequently found in middle-aged women, to be classified among the vascular acrosyndromes. Patients seeking medical evaluation for this disorder should be reassured.
MeSH term(s)	Adolescent ; Adult ; Age Distribution ; Age Factors ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Female ; Fingers/blood supply ; France/epidemiology ; Hematoma/diagnosis ; Hematoma/epidemiology ; Humans ; Male ; Middle Aged ; Prevalence ; Raynaud Disease/diagnosis ; Raynaud Disease/epidemiology ; Recurrence ; Risk Assessment ; Risk Factors ; Sex Distribution ; Sex Factors ; Young Adult
Language	English
Publishing date	2016-01
Publishing country	Switzerland
Document type	Journal Article ; Multicenter Study
ZDB-ID	120977-2
ISSN	1664-2872 ; 0301-1526
ISSN (online)	1664-2872
ISSN	0301-1526
DOI	10.1024/0301-1526/a000496
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