A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot study
Mixed leg ulcer is a challenge in vascular diseases because both arterial and venous systems of the lower extremities are involved in the wound pathogenesis. Management is very difficult because the coexistence of the two conditions sometimes prevent to use compression bandaging, which is the corner...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
PAGEPress Publications
2016-10-01
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| Series: | Veins and Lymphatics |
| Subjects: | |
| Online Access: | http://www.pagepressjournals.org/index.php/vl/article/view/5266 |
| _version_ | 1818306750915280896 |
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| author | Mirko Tessari Sergio Gianesini Paolo Spath Erica Menegatti Maria Grazia Sibilla Matilde Zamboni Anna Maria Malagoni Paolo Zamboni |
| author_facet | Mirko Tessari Sergio Gianesini Paolo Spath Erica Menegatti Maria Grazia Sibilla Matilde Zamboni Anna Maria Malagoni Paolo Zamboni |
| author_sort | Mirko Tessari |
| collection | DOAJ |
| description | Mixed leg ulcer is a challenge in vascular diseases because both arterial and venous systems of the lower extremities are involved in the wound pathogenesis. Management is very difficult because the coexistence of the two conditions sometimes prevent to use compression bandaging, which is the cornerstone of venous leg ulcer treatment. It has been recently developed the so called gradient pump (GP), a novel device which permits to intermittently stop the flow in the femoral vein with a pneumatic cuff placed on the thigh. Subsequent release of the femoral vein compression determines a dramatic aspiration of the blood up-ward the heart, with synchronous and measured improved perfusion of the distal limb. We applied GP at 4 consecutive cases of multiple mixed painful ulcerations of the foot and leg scheduled for below knee and/or foot amputations. In all cases measure of pain by visual analogue scale significantly decreased; GP in most cases together intravenous infusion of synthetic prostacyclin led to improvement and/or minimal amputation. Therefore such a management can be done on outpatient bases, allowing a considerable lowering of health costs. We conclude that GP could be a valuable tool in the arsenal of mixed leg ulcer clinical assessment. |
| first_indexed | 2024-12-13T06:47:27Z |
| format | Article |
| id | doaj.art-9a26aeafc0c743cb845da35f26de8b50 |
| institution | Directory Open Access Journal |
| issn | 2279-7483 |
| language | English |
| last_indexed | 2024-12-13T06:47:27Z |
| publishDate | 2016-10-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Veins and Lymphatics |
| spelling | doaj.art-9a26aeafc0c743cb845da35f26de8b502022-12-21T23:56:14ZengPAGEPress PublicationsVeins and Lymphatics2279-74832016-10-015210.4081/vl.2016.52664936A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot studyMirko Tessari0Sergio Gianesini1Paolo Spath2Erica Menegatti3Maria Grazia Sibilla4Matilde Zamboni5Anna Maria Malagoni6Paolo Zamboni7Unit of Translational Surgery and Vascular Diseases Center, University Hospital of FerraraUnit of Translational Surgery and Vascular Diseases Center, University Hospital of FerraraUnit of Translational Surgery and Vascular Diseases Center, University Hospital of FerraraUnit of Translational Surgery and Vascular Diseases Center, University Hospital of FerraraUnit of Translational Surgery and Vascular Diseases Center, University Hospital of FerraraUnit of Translational Surgery and Vascular Diseases Center, University Hospital of FerraraUnit of Translational Surgery and Vascular Diseases Center, University Hospital of FerraraUnit of Translational Surgery and Vascular Diseases Center, University Hospital of FerraraMixed leg ulcer is a challenge in vascular diseases because both arterial and venous systems of the lower extremities are involved in the wound pathogenesis. Management is very difficult because the coexistence of the two conditions sometimes prevent to use compression bandaging, which is the cornerstone of venous leg ulcer treatment. It has been recently developed the so called gradient pump (GP), a novel device which permits to intermittently stop the flow in the femoral vein with a pneumatic cuff placed on the thigh. Subsequent release of the femoral vein compression determines a dramatic aspiration of the blood up-ward the heart, with synchronous and measured improved perfusion of the distal limb. We applied GP at 4 consecutive cases of multiple mixed painful ulcerations of the foot and leg scheduled for below knee and/or foot amputations. In all cases measure of pain by visual analogue scale significantly decreased; GP in most cases together intravenous infusion of synthetic prostacyclin led to improvement and/or minimal amputation. Therefore such a management can be done on outpatient bases, allowing a considerable lowering of health costs. We conclude that GP could be a valuable tool in the arsenal of mixed leg ulcer clinical assessment.http://www.pagepressjournals.org/index.php/vl/article/view/5266Pneumatic compressiongradient pumpmixed leg ulcervisual analogue scalelimb perfusion. |
| spellingShingle | Mirko Tessari Sergio Gianesini Paolo Spath Erica Menegatti Maria Grazia Sibilla Matilde Zamboni Anna Maria Malagoni Paolo Zamboni A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot study Veins and Lymphatics Pneumatic compression gradient pump mixed leg ulcer visual analogue scale limb perfusion. |
| title | A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot study |
| title_full | A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot study |
| title_fullStr | A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot study |
| title_full_unstemmed | A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot study |
| title_short | A novel concept of pneumatic pump in the outpatient management of mixed leg ulceration: a pilot study |
| title_sort | novel concept of pneumatic pump in the outpatient management of mixed leg ulceration a pilot study |
| topic | Pneumatic compression gradient pump mixed leg ulcer visual analogue scale limb perfusion. |
| url | http://www.pagepressjournals.org/index.php/vl/article/view/5266 |
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