pvd case reportdeprimo.ie/ref/casereport_b.pdftreatment of non-reconstructable pvd with the arterial...

ArtAssist ® ...the Arterial Assist Device™ CASE REPOR CASE REPOR T T 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 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. PATIENT ArtAssist ® Device • 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 vessels towards the toe • Applied intermittent compression to foot, ankle and calf at 120mmHg • Home use, 1 hour q.i.d. • Metatarsal PVR-amplitude increased • Lesions are almost healed (second toe completely healed) atient is a 68 year-old man with diabetes, post Coronary Artery Bypass Graft (CABG), Carotid Endarterectomy (CEA), 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 devel- oping on the tip of the second toe. Non-invastive pulse-volume recording (PVR) demonstrated a diminished amplitude of 3 mm 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 are almost healed (figure 3). Metatarsal PVR-amplitude has increased to 9 mm. Note the tip of the second toe, which completely healed after one month. Ar Ar tAssist tAssist ® ® can incr can incr ease skin-flow mor ease skin-flow mor e than 4 times. e than 4 times. 1,2 1,2 1857 Diamond Street • San Marcos, CA 92069 USA • Fax: (760) 744-4401 www.acimedical.com • E-mail: [email protected] Before ArtAssist ® Treatment Arteriography After 3 Months Treatment P P Figure 1 Figure 2 Figure 3 (888) 4 LEG FLO • (888) 453-4356 (888) 4 LEG FLO • (888) 453-4356 ArtAssist ® is a registered trademark of ACI Medical, Inc. 2000 ACI Medical. All rights reserved. ArtAssist ® Device Figure 4

Upload: others

Post on 30-Jun-2020

0 views

Category:

Documents

0 download

Report

Download

Embed Size (px):

TRANSCRIPT

Page 1: PVD Case Reportdeprimo.ie/ref/casereport_b.pdfTreatment of non-reconstructable PVD with the Arterial Assist Device™ Paul S. van Bemmelen, MD, Stony Brook, NY and Valerie A. Brunetti,

ArtAssist®...the Arterial Assist Device™CASE REPORCASE REPORTT

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

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.

PATIENT

ArtAssist® Device

• 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 vessels towards the toe

• Applied intermittent compression to foot, ankle and calf at 120mmHg

• Home use, 1 hour q.i.d.• Metatarsal PVR-amplitude

increased• Lesions are almost healed

(second toe completely healed)

atient is a 68 year-old man with diabetes, post Coronary Artery Bypass Graft (CABG), CarotidEndarterectomy (CEA), 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 devel-oping on the tip of the second toe. Non-invastive pulse-volume recording (PVR) demonstrated a diminished ampli-tude of 3 mm at the metatarsal level, with a flat waveform at the toe level. Arteriography demonstrated patent ves-sels down to the ankle, but no run-off towards the forefoot (figure 2). Patient used ArtAssist® compression for onehour, q.i.d. Topical treatment consisted of a non-adherent dressing only and minor debridements in the office. Aftercompletion of a 3-month compression protocol, the lesions are almost healed (figure 3). Metatarsal PVR-amplitudehas increased to 9 mm. Note the tip of the second toe, which completely healed after one month.

ArArtAssisttAssist ®® can incrcan increase skin-flow morease skin-flow more than 4 times.e than 4 times. 1,21,2

1857 Diamond Street • San Marcos, CA 92069 USA • Fax: (760) 744-4401www.acimedical.com • E-mail: [email protected]

Before ArtAssist® Treatment Arteriography

After 3 Months Treatment

Figure 1 Figure 2

Figure 3

(888) 4 LEG FLO • (888) 453-4356(888) 4 LEG FLO • (888) 453-4356

ArtAssist® Device

Figure 4

Cvd & pvd by shreya

CATALOG-PVD TITANIUM

PVD Vs PECVD Coating