Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case report

Background Worsening heart failure (WHF) may occasionally present with predominant extravascular fluid overload without clear intravascular congestion. This scenario can challenge traditional diuretic-based strategies, particularly in patients with infiltrative cardiomyopathies such as amyloid light...

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Autores: Mínguez S, Civera J, de la Espriella R, Iraola D, Núñez J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p20248
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/20248
Access Level:acceso abierto
Palabra clave:Heart failure (HF)
Venous leg compression (VLC)
Extravascular fluid overload
Case report
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spelling Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case reportMínguez SCivera Jde la Espriella RIraola DNúñez JHeart failure (HF)Venous leg compression (VLC)Extravascular fluid overloadCase reportBackground Worsening heart failure (WHF) may occasionally present with predominant extravascular fluid overload without clear intravascular congestion. This scenario can challenge traditional diuretic-based strategies, particularly in patients with infiltrative cardiomyopathies such as amyloid light-chain (AL) amyloidosis, where congestion often manifests as volume overload without substantial intravascular volume expansion.Case summary This case report highlights the potential efficacy of venous leg compression (VLC)-a therapeutic approach traditionally employed in chronic venous diseases to improve venous return-combined with parenteral diuretic therapy in alleviating signs and symptoms in a 50-year-old woman with AL amyloidosis and WHF. In this patient, VLC was associated with tissue decongestion, enhanced vascular refill, and clinical improvement, suggesting its role in optimizing the diuretic response despite the absence of intravascular congestion.Discussion Venous leg compression emerges as a promising adjunctive therapy for managing WHF with predominant extravascular fluid overload, especially when conventional diuretics may be limited by the lack of intravascular congestion. These findings support the potential utility of VLC as a complementary strategy in this subset of patients. Further studies are warranted to establish its safety and efficacy.OXFORD UNIV PRESS2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/20248European Heart Journal-Case ReportsISSN: 25142119reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p202482026-06-07T16:35:31Z
dc.title.none.fl_str_mv Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case report
title Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case report
spellingShingle Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case report
Mínguez S
Heart failure (HF)
Venous leg compression (VLC)
Extravascular fluid overload
Case report
title_short Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case report
title_full Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case report
title_fullStr Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case report
title_full_unstemmed Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case report
title_sort Therapeutic role of venous leg compression in worsening heart failure with predominant extravascular congestion: a case report
dc.creator.none.fl_str_mv Mínguez S
Civera J
de la Espriella R
Iraola D
Núñez J
author Mínguez S
author_facet Mínguez S
Civera J
de la Espriella R
Iraola D
Núñez J
author_role author
author2 Civera J
de la Espriella R
Iraola D
Núñez J
author2_role author
author
author
author
dc.subject.none.fl_str_mv Heart failure (HF)
Venous leg compression (VLC)
Extravascular fluid overload
Case report
topic Heart failure (HF)
Venous leg compression (VLC)
Extravascular fluid overload
Case report
description Background Worsening heart failure (WHF) may occasionally present with predominant extravascular fluid overload without clear intravascular congestion. This scenario can challenge traditional diuretic-based strategies, particularly in patients with infiltrative cardiomyopathies such as amyloid light-chain (AL) amyloidosis, where congestion often manifests as volume overload without substantial intravascular volume expansion.Case summary This case report highlights the potential efficacy of venous leg compression (VLC)-a therapeutic approach traditionally employed in chronic venous diseases to improve venous return-combined with parenteral diuretic therapy in alleviating signs and symptoms in a 50-year-old woman with AL amyloidosis and WHF. In this patient, VLC was associated with tissue decongestion, enhanced vascular refill, and clinical improvement, suggesting its role in optimizing the diuretic response despite the absence of intravascular congestion.Discussion Venous leg compression emerges as a promising adjunctive therapy for managing WHF with predominant extravascular fluid overload, especially when conventional diuretics may be limited by the lack of intravascular congestion. These findings support the potential utility of VLC as a complementary strategy in this subset of patients. Further studies are warranted to establish its safety and efficacy.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/20248
url https://incliva.portalinvestigacion.com/publicaciones/20248
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv OXFORD UNIV PRESS
publisher.none.fl_str_mv OXFORD UNIV PRESS
dc.source.none.fl_str_mv European Heart Journal-Case Reports
ISSN: 25142119
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
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instname_str INCLIVA
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