Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Intermittent PneumaticCompression TherapyFor treating peripheral arterial disease (PAD)
Before you read on… Arterial IPC therapy requires a doctor’s prescription. Such IPC devices can have life-changing benef...
Aspects to consider beforeprescribing an arterial IPCdevice
1. Cuff Specifications                    The compression cuff ’s air                     bladders should cover as  Large...
Cuff Inflation & Deflation Rates Research shows that quick inflation and deflation rates  (under 0.5 sec) are of highest ...
Cuff Pressure Now you know that cuffs  should have large bladders at  the foot, ankle & calf and that               Cuff ...
2. Depth of Clinical Research Make sure the device you  prescribe has clinical research  supporting its claims. Not only...
On that note: Being optimized to treat arterial disease is of the utmost  importance for an arterial IPC device. Research...
3. Good Customer Experience?         The compliance factor          Neither the physician nor the device          distrib...
Customer Experience (cont’d) Patient Accommodation If a patient has a special condition, the arterial IPC device distribu...
Customer Experience (cont’d) Obtaining Therapy Physicians and their patients should not go through unnecessary trouble to...
The Device That Comes Out onTop There’s only one number to call if you want to  order, prescribe, or just get more inform...
If it doesn’t say ArtAssist®…             it won’t work like one.       The ArtAssist® Arterial Assist Device uses a prove...
Notable Studies Performed with theArtAssist® Device Sequential Compression Biomechanical Device in Patients  with Critica...
Upcoming SlideShare
Loading in …5
×

What you need to know about arterial IPC therapy

5,725 views

Published on

For physicians who are considering prescribing intermittent pneumatic compression (IPC) therapy for a patient with PAD, this slideshow provides ACI Medical's expertise on IPC devices and what you should look for if you want to EFFECTIVELY treat arterial disease of the lower extremity. Remember: not all IPC devices were created equal!

Published in: Health & Medicine, Business
  • Be the first to comment

What you need to know about arterial IPC therapy

  1. 1. Intermittent PneumaticCompression TherapyFor treating peripheral arterial disease (PAD)
  2. 2. Before you read on… Arterial IPC therapy requires a doctor’s prescription. Such IPC devices can have life-changing benefits for non-surgical patients with PAD. Over the course of a few months, physician-directed use of an arterial IPC device can save limbs from amputation. This is not a guide to be used as medical advice, but as experts in this technology, we’d like to share what we know about arterial compression devices so you and your patient can make a more educated decision.
  3. 3. Aspects to consider beforeprescribing an arterial IPCdevice
  4. 4. 1. Cuff Specifications  The compression cuff ’s air bladders should cover as Large air much tissue below the knee as bladders compress possible. This will promote most of the more skin blood flow.foot, ankle & calf  Also, note that the size of the air bladders is relative to the amount of circulation. The bigger, the better.
  5. 5. Cuff Inflation & Deflation Rates Research shows that quick inflation and deflation rates (under 0.5 sec) are of highest importance because they apply shear stress to the endothelium. Under shear stress, endothelial cells release a vasodilator (nitric oxide) that helps open the smallest arteries. With continued use over approximately 3 months, collateral vessels form. The process activated is arteriogenesis. ArtAssist® “Brand B” Inflation & Deflation Foot rate comparisons Calf ArtAssist® “Brand B”
  6. 6. Cuff Pressure Now you know that cuffs should have large bladders at the foot, ankle & calf and that Cuff Pressures they should inflate and deflate 200 quickly. But what kind of 150 pressure should the air bladders reach? 100 Pressure in 50 mmHg The answer that researchers 0 found was 120 mmHg. Below Not Just Too this pressure, blood flow was Enough Right Much! not as high. Above 120 mmHg was unnecessary and, furthermore, uncomfortable for patients.
  7. 7. 2. Depth of Clinical Research Make sure the device you prescribe has clinical research supporting its claims. Not only can arterial IPC devices improve claudication distances, but their regular use can also result in limb salvage. Ask the developer which kinds of trials have been done on their own arterial IPC device.
  8. 8. On that note: Being optimized to treat arterial disease is of the utmost importance for an arterial IPC device. Research has suggested that if a pump is NOT optimized for arterial disease, using it could actually DECREASE blood flow – doing more harm than good! It is well worth the extra few moments to consider the following, as it may impact the treatment’s efficacity: did the makers of this arterial pump design it specifically to treat arterial disease or is it simply a modified lymphedema/DVT prevention pump? And was it tested at medical institutions with results published in peer-reviewed journals? Call up the device’s developer. Straight answers are the best.
  9. 9. 3. Good Customer Experience?  The compliance factor Neither the physician nor the device distributor can make absolutely sure a patient uses the arterial IPC device as directed. If patient compliance is poor, the results will be poor. It is therefore necessary to communicate to the patient that this therapy presents the best chance of limb salvage after other options have been exhausted, but only if used as directed.
  10. 10. Customer Experience (cont’d) Patient Accommodation If a patient has a special condition, the arterial IPC device distributor should be knowledgeable enough to accommodate it so that the patient can still undergo effective therapy.
  11. 11. Customer Experience (cont’d) Obtaining Therapy Physicians and their patients should not go through unnecessary trouble to simply obtain a device, especially given the time-sensitive nature of serious conditions such as non-healing ulcers and critical limb ischemia. Find a distributor that makes obtaining therapy both convenient and fast.
  12. 12. The Device That Comes Out onTop There’s only one number to call if you want to order, prescribe, or just get more information about the ArtAssist® device: 888 4 LEG FLO (888-453-4356) ® ArtAssist Arterial Pump Technology The only device… Optimized to treat PAD 25+ published clinical studies
  13. 13. If it doesn’t say ArtAssist®… it won’t work like one. The ArtAssist® Arterial Assist Device uses a proven and unique form of intermittent pneumatic compression to triple arterial blood flow to ischemic limbs Recommended Rx: 1 hour, 3 times per day for 90 daysDeveloper, manufacturer, and distributor of ArtAssist® Arterial Pump Technology Made in the USA ArtAssist.com
  14. 14. Notable Studies Performed with theArtAssist® Device Sequential Compression Biomechanical Device in Patients with Critical Limb Ischemia and Nonreconstructible Peripheral Vascular Disease. Sherif Sultan, MD, et al. J Vasc Surg 2011: 54; 440-7 A Randomized, Placebo-Controlled Limb Salvage Trial Using the ArtAssist Pneumatic Compression Device. George Louridas, MD. Vasc Ann Conference Philadelphia June 2006 Angiographic Improvement after Rapid Intermittent Compression Treatment (ArtAssist) for Small Vessel Obstruction. Paul van Bemmelen, MD, et al. Ann Vasc Surg 2003: 17; 224-8 The ArtAssist Device in Chronic Lower Limb Ischemia: A Pilot Study. George Louridas, MD, et al. International Angiology 2002: 21; 28-35

×