ACI Medical has clinical testing relationships with some of the best medical research facilities in the world including: Tufts Medical School - Boston, State University of New York - Stony Brook, University of Rochester - New York, Temple University School of Medicine - Philadelphia, Loyola Medical School – Chicago, University of Manitoba, Imperial College of Medicine – London, and Southern Illinois University - Springfield.
Case Report #1 |
Case Report #2 |
Case Report #3 |
Case Report #4 |
Case Report #3 |
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Treatment of non-reconstructable PVD with the Arterial Assist Device
Paul S. van Bemmelen, MD, Stony Brook, NY and Valerie A. Brunetti, DPM, Northport, NY |
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Patient |
ArtAssist® Device |
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- 68 y.o. male with diabetes
- 4-month history of rest pain and progressive necrosis
- PVR's were diminished, flat wave form at toe level
- No run-off towards the toe
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- Applied intermittent compression to foot, ankle and calf at 120mmHg
- Home use 1 hour, q.i.d.
- Metatarsal PVR-amplitude increased
- The lesions are almost healed (second toe completely healed)
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Figure 1 |
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Figure 2 |
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Figure 3 |
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Patient is a 68 year-old man with diabetes; status post Coronary Artery Bypass Graft (CABG), Carotid Endarterectomy (CEA) and bilateral femoro-popliteal bypass and bilateral profundaplasty. Patient presented with a 4-month history of rest-pain and progressive necrosis of the right hallux (figure 1). A small lesion was developing on the tip of the second toe. Non-invasive pulse-volume recording (PVR) demonstrated a diminished amplitude of 3mm at the metatarsal level, with a flat waveform at the toe level. Arteriography demonstrated patent vessels down to the ankle, but no run-off towards the forefoot (figure 2). Patient used ArtAssist® compression for one hour, q.i.d. Topical treatment consisted of a non-adherent dressing only and minor debridements in the office. After completion of a 3-month compression protocol, the lesions were almost healed (figure 3). Metatarsal PVR-amplitude increased to 9mm. Note the tip of the second toe, which was already healed after one month.
ArtAssist® can increase skin-flow more than 4 times.1,2
UPDATE: COMPLETELY HEALED
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References:
1. van Bemmelen PS, Weiss-olmanni J, Ricotta JJ: Rapid intermittent compression increases skin circulation in chronically ischemic legs with infra-popliteal obstruction. VASA 2000;29:47-52.
2. Eze AR, comerota AJ, et al. Intermittent calf and foot compression increases lower extremity blood flow. Am J Surg. 1996;172:130-135. |
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