The Use of Transcutaneous Electrical Stimulation of the Calf in Patients Undergoing Infrainguinal Bypass Surgery.

摘要: Background Infrainguinal bypass surgery is frequently associated with postoperative reperfusion edema of the limb. The etiology thought to be multifactorial, and there as yet no standardized treatment protocol for this problem. primary aim study was assess whether use intermittent electrical stimulation calf muscles after infrainguinal effective in reducing incidence edema, secondary aims determine effect muscle on arterial venous flow operated leg. Methods Forty patients due undergo critical lower-limb ischemia (Fontaine grading III–IV or Rutherford II–III) were recruited prospectively randomly divided into control group, who received current standard care, a 1 hour session twice daily first week. Preoperatively postoperatively, leg measured at 3 predetermined points duplex ultrasound scan performed. Results groups well matched all parameters. At week, below knee girth less group ( P  = 0.025  = 0.043, respectively). Venous volumes rest higher  = 0.010  = 0.029, 6 weeks, amount pitting  = 0.011  = 0.014, Conclusions We conclude that transcutaneous decreased swelling increased volume week undergoing regardless patient factors type performed graft used.