Rapid intermittent compression increases skin circulation in chronically ischemic legs with infra-popliteal arterial obstruction

摘要: Background: Intermittent pneumatic compression (IPC) has been shown, by duplex, to increase popliteal artery flow in normal legs and with superficial femoral occlusion. The objective of this study was see if IPC improves distal circulation severe infra-popliteal disease. Patients methods: Sixteen chronically ischemic arteriographically demonstrated crural or pedal disease were studied during an ArtAssist® compression-device. This device delivers rapid the foot calf. Cutaneous laser-Doppler flux measured continuously at dorsal aspect forefoot. findings compared those thirteen controls similar age. Results: In legs, spontaneous changes skin-flux are minimal: mean resting sitting position 0.87 ± 0.46 AU (Arbitrary Units). Upon activation maximum increased 4.55 1.35 AU. difference statistically significant (p < 0.001). response that controls. Conclusion: Arterial augmentation upon is associated skin-flux. remains present outflow-arteries. Further investigation define role intermittent for management chronic arterial warranted.