As you can see in the slideshow, this patient owed his rest pain and necrosis to poor circulation to his foot. Surgeons had repeatedly attempted to restore blood flow to no avail. The patient was prescribed therapy with the ArtAssist® device, and after three months, the patient and medical team noticed dramatic improvements to the wound, which was now healing due to augmented blood flow. After five months of continued ArtAssist® device therapy, the patient's wound had fully healed. ArtAssist® Arterial Pump Technology developed by ACI Medical. Recommended Rx: 1 hour T.I.D. for 90 days. (888) 453-4356

1. “Treatment of Non-Reconstructable
PVD with the Arterial Assist Device”
A Case Report
Paul S. van Bemmelen, MD, Stony Brook, NY and Valerie A.
Brunetti, DPM, Northport, NY

2. Patient Background
 68-year-old 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 towards the toe

3. Before ArtAssist® Device Treatment
“ Non-invasive pulse-volume recording (PVR) demonstrated a
diminished amplitude of 3mm at the metatarsal level, with a flat
waveform at the toe level.”

4. Past Therapies
 Coronary artery bypass graft (CABG)
 Cartoid Endarterectomy (CEA)
 Bilateral femoro-popliteal bypass & bilateral
profundaplasty

5. Arteriography Before Treatment
“Arteriography demonstrated patent vessels down to the
ankle, but no run-off towards the forefoot.”

6. ArtAssist® Device Treatment
 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 were almost healed. Metatarsal PVR-
amplitude increased to 9mm.

7. After Five Months’ ArtAssist® Device Treatment
“Note the tip of the second toe, which was already healed after one month.”
ArtAssist® can increase skin-flow more than 4 times.

8. Case Report
 Patient is a 68-year-old man with diabetes; status post Coronary Artery
Bypass Graft (CABG), Cartoid Endarterectomy (CEA) and 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 developing on the tip of the second
toe. Non-invasive pulse-volume recording (PVR) demonstrated a
diminished amplitude of 3mm 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 were almost
healed (figure 3). Metatarsal PVR-amplitude increased to 9mm. Note the
tip of the second toe, which was already healed after one month.
 ArtAssist® can increase skin-flow more than 4 times.

9. ArtAssist
®
Arterial Pump Technology
(888) 4 LEG FLO
The only device…
Optimized to treat PAD
25+ published clinical
studies
86% - 94% limb salvage
rates in studies performed
at multiple centers
A product by
ArtAssist.com

10. Developer, manufacturer & distributor of
ArtAssist® Arterial Pump Technology
San Marcos, California
Prescribing
 Recommended regimen: 1 hour T.I.D. for 90 days
 Provide patient’s name and phone number
 Fax to (760) 744-4401 or email to
info@acimedical.com
 Let ACI Medical handle the rest
 Delivery, training & full customer support