Number 15
RAPID INTERMITTENT COMPRESSION INCREASES SKIN
CIRCULATION IN CHRONICALLY ISCHEMIC LEGS WITH INFRA-
POPLITEAL ARTERIAL OBSTRUCTION
Paul S. van Bemmelen, J. Weiss-Olmanni and J.J. Ricotta
Division of Vascular Surgery, State University of New York, Stony Brook, USA
VASA 2000; 29:47-52
Intermittent pneumatic compression (IPC) has been shown, by Duplex Imaging, to increase popliteal artery blood flow in normal legs and in legs with superficial femoral artery occlusion. The objective of this study was to see if IPC improves distal circulation in legs with severe infra-popliteal disease.
Sixteen chronically ischemic legs with arteriographically demonstrated crural or pedal disease were studied during compression with ArtAssist® (ACI Medical, Inc., San Marcos, CA USA) compression-device. This device delivers rapid IPC to the foot and calf. Laser Doppler Flowetry Flux was measured continuously at the dorsal aspect of the distal forefoot. The findings were compared to those in thirteen normal controls of similar age.
In ischemic legs, the spontaneous changes in skin-glus are minimal: mean resting flux in sitting position was 0.87 + 0.46 AU (Arbitrary Units). Upon activation of the ArtAssist® compression device the maximum flux increased to 4.55 + 1.35 AU. The difference was statistically significant (p < 0.001). This response was similar to that in normal controls.
Arterial flow augmentation upon ArtAssist® compression period, which could have therapeutic implications. Further investigation to define the role of intermittent compression for management of chronic arterial disease is warranted.
ACI Medical, LLC
1857 Diamond St.
San Marcos, CA 92078
Tel: (760) 744-4400 Fax: (760) 744-4401
Toll Free: 888 4 LEG FLO (4534356)
E-mail: info@acimedical.com
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Number 15
RAPID INTERMITTENT COMPRESSION INCREASES SKIN
CIRCULATION IN CHRONICALLY ISCHEMIC LEGS WITH INFRA-
POPLITEAL ARTERIAL OBSTRUCTION
Paul S. van Bemmelen, J. Weiss-Olmanni and J.J. Ricotta
Division of Vascular Surgery, State University of New York, Stony Brook, USA
VASA 2000; 29:47-52
Intermittent pneumatic compression (IPC) has been shown, by Duplex Imaging, to increase popliteal artery blood flow in normal legs and in legs with superficial femoral artery occlusion. The objective of this study was to see if IPC improves distal circulation in legs with severe infra-popliteal disease.
Sixteen chronically ischemic legs with arteriographically demonstrated crural or pedal disease were studied during compression with ArtAssist® (ACI Medical, Inc., San Marcos, CA USA) compression-device. This device delivers rapid IPC to the foot and calf. Laser Doppler Flowetry Flux was measured continuously at the dorsal aspect of the distal forefoot. The findings were compared to those in thirteen normal controls of similar age.
In ischemic legs, the spontaneous changes in skin-glus are minimal: mean resting flux in sitting position was 0.87 + 0.46 AU (Arbitrary Units). Upon activation of the ArtAssist® compression device the maximum flux increased to 4.55 + 1.35 AU. The difference was statistically significant (p < 0.001). This response was similar to that in normal controls.
Arterial flow augmentation upon ArtAssist® compression period, which could have therapeutic implications. Further investigation to define the role of intermittent compression for management of chronic arterial disease is warranted.
ACI Medical, LLC 1857 Diamond St. San Marcos, CA 92078 Tel: (760) 744-4400 Fax: (760) 744-4401 Toll Free: 888 4 LEG FLO (4534356) E-mail: info@acimedical.com |