The impact of intermittent pneumatic compression devices on deep venous flow velocity in patients with congestive heart failure

Nose, Yoshio; Murata, Kazuya; Wada, Yasuaki; Tanaka, Takeo; Fukagawa, Yasuhiro; Yoshino, Hiroko; Susa, Takehisa; Kihara, Chikage; Matsuzaki, Masunori

doi:10.1016/j.jjcc.2010.01.002

Cited by 15 publications

(20 citation statements)

References 22 publications

(35 reference statements)

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“…35 Given the rapid changes in StO 2 after the initiation of IPC, our findings suggest that the main mechanism of IPC to improve tissue oxygenation is most likely related to a mechanical effect on vascular tone and blood flow. 29,36 Albeit still limited, our results provide a mechanistic reason to support the notion that IPC should not be, hypothetically, considered contraindicated in those with peripheral vascular disease or leg wounds, including those who have a great saphenous vein donor wound after CABG, 24 provided the IPC does not induce wound pain. Applying an IPC to the leg with a skin wound may indeed be beneficial in reducing DVT and possibly improving wound healing.…”

Section: Discussionmentioning

confidence: 61%

A comparison of different modes of pneumatic compression on muscle tissue oxygenation: An intraparticipant, randomised, controlled volunteer study

Nandwana

2019

Anaesth Intensive Care

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Intermittent pneumatic compression (IPC) to the lower limbs is widely used as a mechanical means to prevent deep vein thrombosis in hospitalised patients. Due to a theoretical concern about impairing blood flow, thromboembolicdeterrent stockings and IPC are considered contraindicated for patients with peripheral vascular diseases by some clinicians. This study assessed whether IPC would alter peripheral limb muscle tissue oxygenation (StO 2 ), and whether such changes were different during 10 minutes of sequential and single-compartment compressions. Twenty volunteers were randomised to have their left or right arm treated with a sequential or single-compartment IPC for 10 minutes, using the contralateral arm without compression as an intraparticipant control. After a five-minute wash-out period, the procedure was repeated on the same arm using the alternative mode of IPC. Both hands' thenar muscles StO 2 was monitored every two minutes for 10 minutes using the same near-infrared spectroscopy StO 2 monitor. Both sequential (3.5%, 95% confidence intervals (CI) 2.7-4.2; p < 0.001) and single-compartment IPC (1.6%, 95% CI 0.4-2.8; p ¼ 0.039) significantly increased muscle StO 2 within 10 minutes compared to no compression; and the increments were higher during sequential compressions compared to during single-compartment compressions (2.1%, 95% CI 0.7-3.5; p ¼ 0.023). This mechanistic study showed that both modes of IPC increased upper limb muscle StO 2 compared to no compression, but the StO 2 increments were higher with the multiple-chamber sequential compressions mode. Contrary to the theoretical concern that IPC may impair peripheral limb tissue oxygenation, our results showed that IPC actually increases oxygenation of the peripheral limb muscles, especially during the sequential compressions mode.

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Section: Discussionmentioning

confidence: 61%

A comparison of different modes of pneumatic compression on muscle tissue oxygenation: An intraparticipant, randomised, controlled volunteer study

Nandwana

2019

Anaesth Intensive Care

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Section: Reported Complications Of Compression Therapy Regarding ‘Absmentioning

confidence: 99%

“…Adverse events caused by compression therapy have been reported in patients with arterial occlusive disease, while the warnings concerning heart failure are obviously based more on theoretical concerns and even beneficial effects have been published under compression. 45,46 The most common cause for adverse effects in patients with arterial occlusive disease is the fact that the arterial disease was not recognized by the bandager which underlines the importance to check every patient carefully before leg compression is applied by palpating foot pulses and measuring the ankle pressure. 47 The compression pressure should never exceed the arterial perfusion pressure.…”

Section: Reported Complications Of Compression Therapy Regarding 'Absmentioning

confidence: 99%

Compression therapy for venous leg ulcers: risk factors for adverse events and complications, contraindications – a review of present guidelines

Andriessen

Apelqvist

Mosti

et al. 2017

Acad Dermatol Venereol

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Evidence-based guidance is needed to inform clinicians on risk factor, adverse effects, complications and contraindications. ABPI values need to be specified and details should be given on the type of compression that is safe to use. Ongoing research challenges the present recommendations, shifting some contraindications into a list of potential indications. Complications of compression can be prevented when adequate assessment is performed and clinicians are skilled in applying compression.

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“…But, IPC is shown to have a favorable effect in CHF patients without altering the central hemodynamic parameters. [38][39][40] …”

Section: Mechanical Thromboprophylaxismentioning

confidence: 99%

Practical Approach to VTE Management in Hospitalized Patients

Reddy

Dupree

2017

American Journal of Therapeutics

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Venous thromboembolism (VTE) is a commonly feared life-threatening complication in hospitalized patients. Physicians are frequently consulted to diagnose and manage VTE in obstetrics, neurology, and surgical services. VTE should be treated irrespective of the presentation (incidental or symptomatic), etiology (provoked vs. unprovoked), and location of the venous thrombosis (extremities, abdomen, or cerebral). In patients with high clinical suspicion for VTE, physicians are encouraged to empirically start anticoagulant therapy while awaiting diagnostic testing. Thrombolytic therapy is underused by physicians, which is proven to improve the mortality in hypotensive patients with pulmonary embolism. Retrievable inferior vena cava filters have an important role in the prophylaxis and management of selective groups of VTE patients. Physicians should not hesitate to place retrievable inferior vena cava filters when clinically indicated but also should make every effort to remove them when no longer needed. This article extensively reviews various diagnostic and management options based on several clinical situations.

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The impact of intermittent pneumatic compression devices on deep venous flow velocity in patients with congestive heart failure

Abstract: Two-dimensional Doppler scanning revealed a significant increase in the mean and peak velocities in the soleal and popliteal veins with SFC-IPC but not with IF-IPC in patients with CHF. These results indicate that SFC-IPC could have favorable effects in preventing DVT in patients with CHF.

Cited by 15 publications

References 22 publications

A comparison of different modes of pneumatic compression on muscle tissue oxygenation: An intraparticipant, randomised, controlled volunteer study

A comparison of different modes of pneumatic compression on muscle tissue oxygenation: An intraparticipant, randomised, controlled volunteer study

Compression therapy for venous leg ulcers: risk factors for adverse events and complications, contraindications – a review of present guidelines

Practical Approach to VTE Management in Hospitalized Patients

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