ArtAssist®...the Arterial Assist Device™
The ArtAssist® device significantly increases patients' blood flow in the popliteal artery (Reference 7, 9, 14 & 20) and at the tissue level (Reference 15). It applies rapid, high-pressure, foot and calf, pneumatic compression to the lower extremities to increase arterial blood flow. It is indicated for patients with peripheral arterial disease (PAD), including non-surgical candidates, diabetic and non-diabetic arteriopathic foot and leg ulcers, after bypass surgery, intermittent claudication, and rest pain (critical or subcritical ischemia). There are no known adverse reactions.
       
         
The ArtAssist® device is the only external pneumatic compression device optimized for increasing arterial blood flow. Clinical studies have determined the optimal parameters (timing, pressure, intervals, bladder placement, patient position) to maximize blood flow (Reference 6, 12 & 18). Blood flow improvements are observed in the popliteal artery using duplex ultrasonic imaging and at the tissue level in the foot using laser Doppler.


Increased Blood Flow By 3.1 Times
Doppler imaging in the popliteal artery shows pre-compression and post-compression velocities on a patient with Fem-pop disease.
  Precompression   Postcompression  
         
Physiological Mechanisms

There are at least two mechanisms by which the ArtAssist® device improves blood flow. First, by compressing all the tissues below the knee, a large volume of venous blood is emptied with the venous pressure dropping close to zero. Arterial pressure is unchanged by compression; therefore, the increased arterial-venous pressure gradient results in greater arterial inflow.

Flow = Pressure Gradient / Resistance

The increased pressure gradient alone does not account for the large blood flow increases and large end-diastolic velociy shown above. A second mechanism for action involves the endothelium. This structure is recently seen as playing an important role in controlling peripheral resistance. Endothelial release of NO causes vasodilation and likely stimulates collateral formation when used over several months.


For additional information, case reports and references - please visit ACI Medical's main web site at www.acimedical.com.

       
ACI Medical, LLC
1857 Diamond St.
San Marcos, CA 92078
Tel: (760) 744-4400 Fax: (760) 744-4401
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E-mail: info@acimedical.com