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Julie Ann Freischlag, MD
Los Angeles, Calif

Arch Surg. 2001;136:1286.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

This manuscript bravely describes an innovative treatment of 13 patients with 14 critically ischemic limbs who by their criteria were not candidates for routine arterial revascularization. Two thirds of these patients were diabetic and had either poor run-off, no suitable vein conduit, or were in generally poor medical condition that obviated a major operation. Surprisingly, 9 of these limbs demonstrated a significant increase in pulse volume amplitude after 3 months, giving some proof of numbers to this voodoo-type therapy. All of these limbs were salvaged. The other 4 limbs did not have such an increase in their pulse volume amplitude, and their limbs were not salvaged. Three of the 4 patients who had a flat-line pulse volume recording noted at the ankle prior to treatment unfortunately went on to undergo amputation. An element of patient compliance was noted as well. Those patients using their device for . . . [Full Text of this Article]

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Limb Salvage Using High-Pressure Intermittent Compression Arterial Assist Device in Cases Unsuitable for Surgical Revascularization
Paul S. van Bemmelen, David B. Gitlitz, Rishad M. Faruqi, Joan Weiss-Olmanni, Valerie A. Brunetti, Fabio Giron, and John J. Ricotta
Arch Surg. 2001;136(11):1280-1285.
ABSTRACT | FULL TEXT