ROLE OF INTERMITTENT PNEUMATIC COMPRESSION THERAPY IN NO OPTION CLI AS A LIMB SALVAGE MEASURE

Dr.Paramasivam Ilayakumar; Dr.K.Raja; Dr.N.Sritharan; Dr.Velladuraichi; Dr.Jayanth V .Kumar; Dr.M.Krishna; Dr.S.Prathap Kumar; Dr.I.Devarajan

Volume : VII, Issue : I, January - 2018

ROLE OF INTERMITTENT PNEUMATIC COMPRESSION THERAPY IN NO OPTION CLI AS A LIMB SALVAGE MEASURE

Dr. Paramasivam Ilayakumar, Dr. K. Raja, Dr. N. Sritharan, Dr. Velladuraichi, Dr. Jayanth V . Kumar, Dr. M. Krishna, Dr. S. Prathap Kumar, Dr. I. Devarajan

Abstract :

Peripheral arterial disease affecting lower extremity vessel is a common condition we used to see in our outpatientdepartment, Institute of vascular surgery, Rajiv Gandhi Govt, General Hospital, Chennai. The presentation of these patients can vary from claudication pain, life style limiting claudication pain, tissue loss in the form of ulcer or gangrene and/or rest pain(A). Most of these patient’s limb can be salvaged by open surgery and/or endovascular procedures. A small number of patients present with lifestyle limiting claudication pain or as Critical limb ischemia with non revascularisable limb on CT/MR angiogram(B). These patients on subsequent follow up ended up in major amputation either below or above knee amputation. We made an effort to study the role of intermittent pneumatic compression therapy in patients with non revascularisable limb as a limb salvage measure.

AIM and OBJECTIVE:

To study the role of intermittent pneumatic compression therapy in patients with peripheral arterial disease(C) affecting lower extremity with rest pain and/or tissue loss in the form of ulcer or gangrene confined to toes with Non – revascularisable limb as evidenced from imaging study namely Duplex scan, CT or MR angiogram, at Institute of Vascular Surgery Department,MMC, Chennai.