title: Effects of Intermittent Pneumatic Compression on Reduction of Postoperative Lower Extremity Edema and Normalization of Foot Microcirculation Flow in Patients Undergoing Arterial Revascularization.
abstract: BACKGROUND In patients with chronic leg ischemia, the beneficial effect of arterial revascularization can be significantly decreased due to postoperative leg swelling. The aim of this study was to assess the effects of intermittent pneumatic compression (IPC) on skin flow normalization in patients undergoing revascularization procedures due to chronic leg ischemia. MATERIAL AND METHODS We evaluated 116 patients with chronic leg ischemia. The patients were divided into groups according to the performed treatment (endovascular or surgical) and implementation of IPC postoperatively. The leg edema assessment and microcirculation flow assessment were performed pre- and postoperatively, using percutaneous O2 pressure (TcpO2), cutaneous blood perfusion (CBP) measurements, and skin flow motion assessment. RESULTS In patients who did not receive IPC, a decrease in CBP value was observed in the 1st postoperative assessment. Among patients receiving IPC, the CBD value increased at the 1st and 2nd postoperative measurements, especially in the surgical group. The lowest TcpO2 values were observed in by-pass surgery group without IPC postoperatively. CONCLUSIONS The benefits of the by-pass procedure in patients with leg ischemia can be significantly reduced by postoperative edema. Among patients with postoperative leg edema, local tissue blood perfusion can be improved by the use of IPC, which can result in decreased local leg swelling, as well as improved skin blood perfusion and TcpO2.
authors.affiliation: Department of Hypertensiology, Angiology and Internal Diseases, Medical University, Poznań, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Pawlaczyk
authors.affiliation: Department of General and Vascular Surgery, Medical University, Poznań, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Gabriel
authors.affiliation: Department of General and Vascular Surgery, Medical University of Silesia, Katowice, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Urbanek
authors.affiliation: Department of General and Vascular Surgery, Medical University , Poznań, Poland.
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Dzieciuchowicz
authors.affiliation: Department of General and Vascular Surgery, Medical University, Poznań, Poland.
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Krasiński
authors.affiliation: Department of General and Vascular Surgery, Medical University, Poznań, Poland.
authors.forename: Zofia
authors.initials: Z
authors.lastname: Gabriel
authors.affiliation: Department of Cancer Prevention, Medical University of Silesia, Katowice, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Olejniczak-Nowakowska
authors.affiliation: Department of General and Vascular Surgery, Medical University, Poznań, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Stanisić
mesh_terms: D000368:Aged; D001158:Arteries / Q000601:surgery*; D004487:Edema / Q000601:surgery / Q000628:therapy*; D005528:Foot / Q000098:blood supply*; D006801:Humans; D048228:Intermittent Pneumatic Compression Devices; D007866:Leg / Q000098:blood supply*; D008833:Microcirculation; D008875:Middle Aged