Controversies in Venous and Lymphatic Compression Therapy [CME] (CONG2014-27)

This course includes the following:


Compression Post-Superficial Vein Procedure: What is the Evidence?
Fedor Lurie, MD, PhD

Static vs. Dynamic Compression
Hugo Partsch, MD, FACPh

Update on Progressive Compression
Giovanni Mosti, MD

Edema: What is the Optimal Compression Pressure?
Giovanni Mosti, MD

Compression in Mixed Arterio-Venous Disease: Is it Safe?
Helane Fronek, MD, FACP, FACPh

Molecular Changes with Compression
Fedor Lurie, MD, PhD

Question and Answer
All Faculty


Steps to Successfully Complete This Activity

To participate in this educational activity please follow the steps listed below.

If you are new to the ACP Online Education Center we require that you register prior to viewing any activity. Click the Register link located in the top right corner of this screen to do so. If you are already a registered user log in and click the TAKE COURSE button that will appear in the Course Summary box.

  1. To begin the activity click the START COURSE button.
  2. Progress through course content by using the NEXT button.
  3. Complete all required items in the course.
  4. Participants must score 80% or greater on the Post-Test to advance and receive credit. They are given three attempts to meet this threshold.
  5. Track your progress using the Course Progress menu.
  6. On the final page of the activity a link will be provided to download your certificate.

Target Audience

The content of this activity is designed to meet the needs of the following target audience:  phlebologists, general surgeons, vascular surgeons, interventional radiologists, interventional cardiologists, vascular medicine practitioners, dermatologists, dermatologic surgeons, family practice and internal medicine practitioners, plastic surgeons, obstetricians and gynecologists, cardiologists, and any other healthcare professional currently or planning on treating patients with venous disease.

Learning Objectives

At the conclusion of this activity participants will be able to:

  1. Discuss the evidence for using compression following venous procedures in patients with mixed venous-arterial ulcerations, and in patients with edema.
  2. Explain that pressure exerted by a compression product on the extremity depends on the elastic properties of the material.  Starting from the same resting pressure a stiff, inelastic material produces much higher pressure during standing and walking.  This higher dynamic pressure is the reason for the more pronounced hemodynamic efficiency of stiff material.
  3. Describe the rationale for and potential benefits of compression that is not graduated.
  4. Recognize that compression results in hemodynamic changes and stimulates the production of important mediators, which both contribute to its effectiveness.
Course summary
Course opens: 
Course expires: 
Catherine Burdge, APRNContent ReviewerNonen/a
Yung-Wei Chi, DO, FASA, FSVMPlannerNonen/a
Helane Fronek, MD, FACP, FACPhSpeakerCovidienInvestor
Joseph T. Jenkins, MD, FACS, RPVI, RPhS, RVTContent ReviewerNonen/a
Fedor Lurie, MD, PhDSpeaker

Tactile Medical Technology


Principal Investigator

Board Member

Margaret Mann, MDContent Reviewer



Consultant; Advisory Board

Consultant; Advisory Board

Stephen H. MossStaffNonen/a
Giovanni Mosti, MDModerator; SpeakerNonen/a
Hugo Partsch, MD, FACPhSpeakerTactile MedicalConsultant
William Schroedter, BS, RVT, RPhS, FSVUContent ReviewerNonen/a
Saundra Spruiell, DO, FACPh, RPVIPlannerNone




The views and opinions expressed in this activity are those of the faculty and do not necessarily represent the views of the ACP. The participant should use his/her clinical judgment, knowledge, experience, and diagnostic skills in applying or adopting professional use of any of the information provided herein. Links to other sites may be provided as additional sources of information. Once you elect to link to a site outside of ACP Education you are subject to the terms and conditions of use, including copyright and licensing restriction, of that site.

Discussion of Off-Label Use

Although no longer required by the Accreditation Council for Continuing Medical Education (ACCME), ACP CME requests all faculty to inform learners of any products they will discuss that are off-label or investigational.

Reproduction Prohibited

Reproduction of this material is not permitted without written permission from the copyright owner.

Review & Recertification

This course was reviewed and recertified for AMA PRA Category 1 CreditTM in November 2016.


Please login or register to take this course.