Abstract
Posters på "Forskningens Dag"
1. Intermittent pneumatic compression in intractable critical ischemia of the lower
limb - a pilot study
Feuerhake IL1
, Henneberg E1
, Høgh A1
1
Department of Vascular Surgery, Viborg Regional Hospital
Aim: Patients with chronic ischemic wounds or rest pain in the lower extremity (CLI), without
the possibility for vascular reconstruction, represent a high selected patient population with
high comorbidity and mortality. The aim of this case-study was to investigate the use of
intermittent pneumatic compression (IPC) among these patients, as a tool to lower pain level
and prolong amputation free survival.
Methods: By journal audit, in our outpatient clinic at the Wound Healing Centre at Viborg
Regional Hospital, Denmark, we analyzed data from patients, who received IPC treatment. We
included CLI patients, where additional revascularization was not possible. 11 patients were
invited to a follow-up interview as well as a clinical examination.
Results: We examined 11 patients with 12 ischemic legs. All of these patients had smaller
non-healing ulcers of ischemic genesis. Complete healing was achieved in 9/12 legs and partial
healing in 1/12 legs. 1/12 underwent an amputation. 1/12 terminated the treatment because
of pain associated with the device. All patients with complete healing also obtained
painlessness at rest.
Conclusions: IPC is in selected patients an effective method of treatment of CLI. It is cheaper
than the costs of an amputation and associated with few complications. Our findings imply a
positive effect of IPC treatment on clinical outcome- wounds healed and pain associated with
the ulcers disappeared. IPC is an easy at home use treatment which is available in most wound
care departments and can successfully be used on the indication CLI without revascularizationpotential
and limited tissue loss.
1. Intermittent pneumatic compression in intractable critical ischemia of the lower
limb - a pilot study
Feuerhake IL1
, Henneberg E1
, Høgh A1
1
Department of Vascular Surgery, Viborg Regional Hospital
Aim: Patients with chronic ischemic wounds or rest pain in the lower extremity (CLI), without
the possibility for vascular reconstruction, represent a high selected patient population with
high comorbidity and mortality. The aim of this case-study was to investigate the use of
intermittent pneumatic compression (IPC) among these patients, as a tool to lower pain level
and prolong amputation free survival.
Methods: By journal audit, in our outpatient clinic at the Wound Healing Centre at Viborg
Regional Hospital, Denmark, we analyzed data from patients, who received IPC treatment. We
included CLI patients, where additional revascularization was not possible. 11 patients were
invited to a follow-up interview as well as a clinical examination.
Results: We examined 11 patients with 12 ischemic legs. All of these patients had smaller
non-healing ulcers of ischemic genesis. Complete healing was achieved in 9/12 legs and partial
healing in 1/12 legs. 1/12 underwent an amputation. 1/12 terminated the treatment because
of pain associated with the device. All patients with complete healing also obtained
painlessness at rest.
Conclusions: IPC is in selected patients an effective method of treatment of CLI. It is cheaper
than the costs of an amputation and associated with few complications. Our findings imply a
positive effect of IPC treatment on clinical outcome- wounds healed and pain associated with
the ulcers disappeared. IPC is an easy at home use treatment which is available in most wound
care departments and can successfully be used on the indication CLI without revascularizationpotential
and limited tissue loss.
| Originalsprog | Engelsk |
|---|---|
| Publikationsdato | 28 apr. 2016 |
| Status | Udgivet - 28 apr. 2016 |
| Begivenhed | Forskningens Dag 2016 - Regionshospitalet Viborg, Viborg, Danmark Varighed: 28 apr. 2016 → 28 apr. 2016 |
Konference
| Konference | Forskningens Dag 2016 |
|---|---|
| Lokation | Regionshospitalet Viborg |
| Land/Område | Danmark |
| By | Viborg |
| Periode | 28/04/2016 → 28/04/2016 |