Salvaging the Unsalvageable: Intermittent Pneumatic Compression and Foot Ulcer Healing. Revascularize (when possible)
|
|
|
- Sydney Stephens
- 5 years ago
- Views:
Transcription
1 Salvaging the Unsalvageable: Intermittent Pneumatic Compression and Foot Ulcer Healing Thom Rooke, MD Thom Krehbiel Professor of Vascular Medicine Mayo Clinic Approach to the Severely Ischemic Limb Identify presence of ischemia Clinical San Francisco, 2009 Approach to the Severely Ischemic Limb Identify presence of ischemia Laboratory Approach to the Severely Ischemic Limb Identify presence of ischemia Revascularize (when possible) 1
2 Approach to the Severely Ischemic Limb Identify presence of ischemia Revascularize (when possible) Amputate (when revascularization not possible) Approach to the Severely Ischemic Limb Identify presence of ischemia Revascularize (when possible) Amputate (when revascularization not possible) Extraordinary Measures 2
3 Extraordinary Measures Intermittent Pneumatic Compression An observation 3
4 Pumps (early 90 s) Venous Treatment of Ischemic Limbs Theoretical Benefits of Intermittent Pneumatic Compression Compression every 20 seconds Pressure + / - 40 mmhg Edema Control Improvement in Venous Return Improvement in Arterial Flow Improvement in Tissue Oxygen Treatment of Ischemic Limbs $$$ Theoretical Benefits of Intermittent Pneumatic Compression Edema Control Improvement in Venous Return Improvement in Arterial Flow Improvement in Tissue Oxygen Edema Control 4
5 Treatment of Ischemic Limbs Theoretical Benefits of Intermittent Pneumatic Compression Edema Control Improvement in Venous Return Improvement in Arterial Flow Improvement in Tissue Oxygen Venous Return 5
6 Treatment of Ischemic Limbs Theoretical Benefits of Intermittent Pneumatic Compression 20 seconds Arterial Flow Edema Control Improvement in Venous Return Improvement in Arterial Flow Improvement in Tissue Oxygen Treatment of Ischemic Limbs Tissue Oxygen Theoretical Benefits of Intermittent Pneumatic Compression Edema Control Improvement in Venous Return Improvement in Arterial Flow Improvement in Tissue Oxygen 6
7 TcPO2 and Wound Healing > 40 mmhg -- Ulcers/Amputations Heal mmhg -- Gray Zone Late 1990 s Venous pumps Treatment of Ischemic Ulcers # Ulcers 48 Hours of Compression 4-6 / Day < 20 mmhg -- Poor Healing TcPO2 (pre) TcPO2 (post) 24 mmhg 36 mmhg Venous pumps Late 1990 s New Treatment of Ischemic Ulcers # Ulcers 48 Died During Treatment 7/48 (15%) Healed (16 weeks) 31/41 (76%) Amputation 3/41 (7%) Non-healed (31 weeks) 7/41 (17%) - Size (pre) 340 mm ² - Size (post) 125 mm ² Fast inflation Arterial Pumps (Impulse) > 100 mmhg 7
8 Ulcer Therapy -- Favorable Outcomes (non-revascularized) TcpO2 (mmhg) Without Pumps With Pumps P (n=40) (n=96) > % 91% NS % 83% <.05 < 20 0% 50% <.05 non-random Ulcer Therapy -- Favorable Outcomes (non-revascularized) TcpO2 (mmhg) Without Pumps With Pumps P (n=40) (n=96) > % 91% NS % 83% <.05 < 20 0% 50% <.05 non-random Vella A, Carlson L,Blier B, Felty C, Kuiper J, and Rooke T Circulator boot therapy alters the natural history of ischemic limb ulceration Vascular Medicine 2000; 5: Vella A, Carlson L,Blier B, Felty C, Kuiper J, and Rooke T Circulator boot therapy alters the natural history of ischemic limb ulceration Vascular Medicine 2000; 5: Ulcer Therapy -- Favorable Outcomes (non-revascularizable) TcpO2 (mmhg) Without Pumps With Pumps P (n=40) (n=96) > % 91% NS % 83% <.05 < 20 0% 50% <.05 non-random Vella A, Carlson L,Blier B, Felty C, Kuiper J, and Rooke T Circulator boot therapy alters the natural history of ischemic limb ulceration Vascular Medicine 2000; 5: Improving limb salvage in critical ischemia with intermittent pneumatic compression: A controlled study with 18-month follow-up random J Vasc Surg Mar;47(3): Steven J. Kavros, DPM, Konstantinos T. Delis, MD, MS, PhD, FRCSI, EBSQvasc, Norman S. Turner, MD, Anthony E. Voll, RN, Davis A. Liedl, RN, Peter Gloviczki, MD, Thom W. Rooke, MD N = 48 Without Pumps (24) With Pumps (24) Bypass graft 67% 79% % patent 88% 89% ABI Healed 17% 58% *** BKA 83% 42% *** 8
9 Improving limb salvage in critical ischemia with intermittent pneumatic compression: A controlled study with 18-month follow-up random J Vasc Surg Mar;47(3): Steven J. Kavros, DPM, Konstantinos T. Delis, MD, MS, PhD, FRCSI, EBSQvasc, Norman S. Turner, MD, Anthony E. Voll, RN, Davis A. Liedl, RN, Peter Gloviczki, MD, Thom W. Rooke, MD N = 48 Without Pumps (24) With Pumps (24) Bypass graft 67% 79% % patent 88% 89% ABI Healed 17% 58% *** BKA 83% 42% *** Upper Extremity Not just for legs and feet anymore Angiology, Vol. 56, No. 4, (2005) Use of Intermittent Pneumatic Compression for Treatment of Upper Extremity Vascular Ulcers 9
10 Upper Extremity Pump for Ischemic Limb 27 ulcers age = 53 Autoimmune 88% Scleroderma 65% 5 +/- 1.5 hrs/day avg. = 25 weeks The End Ulcer healing 26/27 (96%) 10
VeinOPlus Vascular Peripheral Vascular & Wound Therapy Device
VeinOPlus Vascular Peripheral Vascular & Wound Therapy Device Calf Muscle Pump Dysfunction Therapy Increases blood flow, accelerates wound healing, and improves CVD and PAD symptoms Tomorrow s Technology
Pedal Bypass With Deep Venous Arterialization:
Pedal Bypass With Deep Venous Arterialization: Long Term Result For Critical Limb Ischemia With Unreconstructable Distal Arteries Pramook Mutirangura Professor of Vascular Surgery Faculty of Medicine Siriraj
Disclosures. Critical Limb Ischemia. Vascular Testing in the CLI Patient. Vascular Testing in Critical Limb Ischemia UCSF Vascular Symposium
Disclosures Vascular Testing in the CLI Patient None 2015 UCSF Vascular Symposium Warren Gasper, MD Assistant Professor of Surgery UCSF Division of Vascular Surgery Critical Limb Ischemia Chronic Limb
Practical Point in Holistic Diabetic Foot Care 3 March 2016
Diabetic Foot Ulcer : Vascular Management Practical Point in Holistic Diabetic Foot Care 3 March 2016 Supapong Arworn, MD Division of Vascular and Endovascular Surgery Department of Surgery, Chiang Mai
End Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Lymphedema. Original Policy Date
MP 2.02.12 End Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Lymphedema Medical Policy Section Medicine Issue 12:2013 Original Policy Date 12:2013 Last Review Status/Date
Downloaded from on Sunday, October 13, (IPC) Intermittent Pneumatic Compression IPC ABI.
306-312 (3 ) 10 1389 -. *2 2 2 1 2 1 ١ : (IPC) Intermittent.. Pneumatic Compression. IPC. 0/9 (Ankle Bracial Index ) 46 2 18 :.. 120 Valk mmhg IPC 0/5 < 45 10.. (P=0/0001) valk (P=0/006) IPC :. IPC :.
PUT YOUR BEST FOOT FORWARD
PUT YOUR BEST FOOT FORWARD Bala Ramanan, MBBS 1 st year vascular surgery fellow Introduction The epidemic of diabetes and ageing of our population ensures critical limb ischemia will continue to grow.
Angiosome revascularization strategies in real world practice: how much difference does it make?
Angiosome revascularization strategies in real world practice: how much difference does it make? Peter A. Schneider, MD Kaiser Foundation Hospital Honolulu, Hawaii Disclosure Peter A. Schneider... I have
UC SF. Disclosures. Vascular Assessment of the Diabetic Foot. What are the best predictors of wound healing? None. Non-Invasive Vascular Studies
Disclosures Vascular Assessment of the Diabetic Foot What are the best predictors of wound healing? None Shant Vartanian MD Assistant Professor of Vascular Surgery UCSF Vascular Symposium April 20, 2013
John E. Campbell, MD Assistant Professor of Surgery and Medicine Department of Vascular Surgery West Virginia University, Charleston Division
John E. Campbell, MD Assistant Professor of Surgery and Medicine Department of Vascular Surgery West Virginia University, Charleston Division John Campbell, MD For the 12 months preceding this CME activity,
Perfusion Assessment in Chronic Wounds
Perfusion Assessment in Chronic Wounds American Society of Podiatric Surgeons Surgical Conference September 22, 2018 Michael Maier, DPM, FACCWS Cardiovascular Medicine Cleveland Clinic Disclosures Speaker,
Amputation as a Last Resort A Multidisciplinary Approach to Limb Salvage
Amputation as a Last Resort A Multidisciplinary Approach to Limb Salvage George L. Adams, MD, MHS, MBA, FACC, FSCAI Clinical Associate Professor of Medicine University of North Carolina Health System Director
Interventional Treatment First for CLI
Interventional Treatment First for CLI Patrick Alexander, MD, FACC, FSCAI Interventional Cardiology Medical Director, Critical Limb Clinic Providence Heart Institute, Southfield MI 48075 Disclosures Consultant
Jonathan I. Rosenblum, DPM 1 ; Michael I. Gazes, DPM 2 ; Nachum Greenberg, MD 1
ORIGINAL RESEARCH Surface Acoustic Wave Patch Therapy Affects Tissue Oxygenation In Ischemic Feet Jonathan I. Rosenblum, DPM 1 ; Michael I. Gazes, DPM 2 ; Nachum Greenberg, MD 1 WOUNDS 2014;26(10):301-305
My Diabetic Patient Has No Pulses; What Should I Do?
Emily Malgor, MD Assistant Professor of Surgery University of Oklahoma, Oklahoma City My Diabetic Patient Has No Pulses; What Should I Do? There are no disclosures. Background Diabetes affects 387 million
End-Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Lymphedema
End-Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary,
History & Literature Review
History & Literature Review History In the earliest stages of research, ACI Medical observed significant increases in arterial blood flow while testing a device that applied rapid, high level compressions
Predictive value of transcutaneous oxygen pressure and amputation success by use of supine and elevation measurements
Predictive value of transcutaneous oxygen pressure and amputation success by use of supine and elevation measurements J. Michael Bacharach, MD, Thom W. Rooke, MD, Philip J. Osmundson, MD, and Peter Gloviczki,
National Clinical Conference 2018 Baltimore, MD
National Clinical Conference 2018 Baltimore, MD No relevant financial relationships to disclose Wound Care Referral The patient has been maximized from a vascular standpoint. She has no other options.
Arthroplasty after previous surgery: previous vascular problems
Arthroplasty after previous surgery: previous vascular problems Jacques Menetrey & Victoria B. Duthon Centre de médecine de l appareil locomoteur et du sport Swiss Olympic medical Center Unité d Orthopédie
Disclosures. Tips and Tricks for Tibial Intervention. Tibial intervention overview
Tips and Tricks for Tibial Intervention Donald L. Jacobs, MD C Rollins Hanlon Endowed Professor and Chair Chair of Surgery Saint Louis University SSM-STL Saint Louis University Hospital Disclosures Abbott
Peripheral Artery Disease Interventions Utilizing the Angiosomal Approach to the Complex Wound
Peripheral Artery Disease Interventions Utilizing the Angiosomal Approach to the Complex Wound Craig M. Walker, MD, FACC, FACP Chairman, New Cardiovascular Horizons Clinical Professor of Medicine Tulane
Practical Point in Diabetic Foot Care 3-4 July 2017
Diabetic Foot Ulcer : Role of Vascular Surgeon Practical Point in Diabetic Foot Care 3-4 July 2017 Supapong Arworn, MD Division of Vascular and Endovascular Surgery Department of Surgery, Chiang Mai University
Efficacy of Velcro Band Devices in Venous and. Mixed Arterio-Venous Patients
Efficacy of Velcro Band Devices in Venous and Mixed Arterio-Venous Patients T. Noppeney Center for Vascular Diseases: Outpatient Dept. Obere Turnstrasse, Dept. for Vascular Surgery Martha-Maria Hospital
Maximally Invasive Vascular Surgery for the Treatment of Critical Limb Ischemia
Maximally Invasive Vascular Surgery for the Treatment of Critical Limb Ischemia Traci A. Kimball, MD Department of Surgery Grand Rounds Septemember 13, 2010 Overview Defining Critical Limb Ischemia Epidemiology
Limb Salvage in Diabetic Ischemic Foot. Kritaya Kritayakirana, MD, FACS Assistant Professor Chulalongkorn University April 30, 2017
Limb Salvage in Diabetic Ischemic Foot Kritaya Kritayakirana, MD, FACS Assistant Professor Chulalongkorn University April 30, 2017 Case Male 67 years old Underlying DM, HTN, TVD Present with gangrene
Clinical Approach to CLI and Related Diagnostics: What You Need to Know
Clinical Approach to CLI and Related Diagnostics: What You Need to Know Ido Weinberg, MD Assistant Professor of Medicine Harvard Medical School Massachusetts General Hospital None Disclosures Critical
Multidisciplinary approach to BTK Y. Gouëffic, MD, PhD
Multidisciplinary approach to BTK Y. Gouëffic, MD, PhD Department of vascular surgery, University Hospital of Nantes, France Response to the increased demand of hospital care Population is aging Diabetes
Hemodynamic effects of intermittent pneumatic compression in patients with critical limb ischemia
From the Society for Clinical Vascular Surgery Hemodynamic effects of intermittent pneumatic compression in patients with critical limb ischemia Nicos Labropoulos, PhD, DIC, RVT, Luis R. Leon, Jr, MD,
Increased blood flow. natural healing response. generates a. Wound Healing. Providing increased blood circulation to promote wound healing from inside
Increased blood flow generates a natural healing response Wound Healing Providing increased blood circulation to promote wound healing from inside Increased blood circulation generates a natural healing
GLOBAL VASCULAR GUIDELINES: A NEW PATHWAY FOR LIMB SALVAGE
GLOBAL VASCULAR GUIDELINES: A NEW PATHWAY FOR LIMB SALVAGE Michael S. Conte MD Professor and Chief, Vascular and Endovascular Surgery Co-Director, Center for Limb Preservation Co-Director, Heart and Vascular
Venous Ulcers. A Little Basic Science. An Aggressive Prescription to Aid Healing. Why do venous ulcers occur? Ambulatory venous hypertension!
UCSF Vascular Symposium April 26-28, 2012 San Francisco, California True statements about the management of venous ulcers include: An Aggressive Prescription to Aid Healing Anthony J. Comerota, MD, FACS,
Chronic Ischemic, Venous, and Neuropathic Ulcers in Long-Term Care
REVIEW Chronic Ischemic, Venous, and Neuropathic Ulcers in Long-Term Care Paul Takahashi, MD, FACP, AGSF Ischemic, venous, and neuropathic lower-extremity wounds in longterm care are challenging and unique
Larry Diaz, MD, FSCAI Mehdi H. Shishehbor, DO, FSCAI
PAD Diagnosis Larry Diaz, MD, FSCAI Metro Health / University of Michigan Health, Wyoming, MI Mehdi H. Shishehbor, DO, FSCAI University Hospitals Harrington Heart & Vascular Institute, Cleveland, OH PAD:
Will it heal? How to assess the probability of wound healing
Will it heal? How to assess the probability of wound healing Richard F. Neville, M.D. Professor of Surgery Chief, Division of Vascular Surgery George Washington University Limb center case 69 yr old male
3-year results of the OLIVE registry:
3-year results of the OLIVE registry: A prospective multicenter study in patients with critical limb ischemia Osamu Iida, MD Kansai Rosai Hospital Cardiovascular Center Amagasaki, Hyogo, Japan Disclosure
Endovascular Should Be Considered First Line Therapy
Revascularization of Patients with Critical Limb Ischemia Endovascular Should Be Considered First Line Therapy Michael Conte David Dawson David L. Dawson, MD Revised Presentation Title A Selective Approach
Due to Perimed s commitment to continuous improvement of our products, all specifications are subject to change without notice.
A summary Disclaimer The information contained in this document is intended to provide general information only. It is not intended to be, nor does it constitute, medical advice. Under no circumstances
USWR 23: Outcome Measure: Non Invasive Arterial Assessment of patients with lower extremity wounds or ulcers for determination of healing potential
USWR 23: Outcome Measure: Non Invasive Arterial Assessment of patients with lower extremity wounds or ulcers for determination of healing potential MEASURE STEWARD: The US Wound Registry [Note: This measure
VASCULAR WOUNDS PATHOPHYSIOLOGY AND MANAGEMENT
VASCULAR WOUNDS PATHOPHYSIOLOGY AND MANAGEMENT Lucy Stopher, A/CNS Vascular Surgery ...it is best to think of a wound not as a disease, but rather as a manifestation of disease. Joe McCulloch In order
A Guide To Hyperbaric Oxygen Therapy For Diabetic Foot Wounds
A Guide To Hyperbaric Oxygen Therapy For Diabetic Foot Wounds Written By: Kazu Suzuki, DPM CWS Hyperbaric oxygen (HBO) chambers are currently located in over 750 facilities in the United States. New wound
Current Vascular and Endovascular Management in Diabetic Vasculopathy
Current Vascular and Endovascular Management in Diabetic Vasculopathy Yang-Jin Park Associate professor Vascular Surgery, Samsung Medical Center Sungkyunkwan University School of Medicine Peripheral artery
LIMB SALVAGE IN THE DIABETIC PATIENT
LIMB SALVAGE IN THE DIABETIC PATIENT WHO? HOW? BEST? DISCLOSURES Educational grant from Cook Inc OBJECTIVES Review risk stratification and staging schemes for the threatened limb Discuss current concepts
Vascular screening in diabetic patients: how aggressive should we be and when to intervene?
Vascular screening in diabetic patients: how aggressive should we be and when to intervene? Roberto Ferraresi Peripheral Interventional Unit Bergamo Italy Disclosure Speaker name: ROBERTO FERRARESI X X
CHAPTER 16 LOWER EXTREMITY. Amanda K Silva, MD and Warren Ellsworth, MD, FACS
CHAPTER 16 LOWER EXTREMITY Amanda K Silva, MD and Warren Ellsworth, MD, FACS The plastic and reconstructive surgeon is often called upon to treat many wound problems of the lower extremity. These include
Now That You Have the Tools
blockosu@gmail.com Now That You Have the Tools Alan Jay Block, DPM, MS, FASPS, FACFAS Assistant Professor Dept Of Orthopeadics The Ohio State University Medical Board Kent State University Editor-in -Chief
Objective assessment of CLI patients Hemodynamic parameters
Objective assessment of CLI patients Hemodynamic parameters Worth anything in end stage patients? Marianne Brodmann Angiology, Medical University Graz, Austria Disclosure Speaker name: Marianne Brodmann
Critical Limb Ischemia A Collaborative Approach to Patient Care. Christopher LeSar, MD Vascular Institute of Chattanooga July 28, 2017
Critical Limb Ischemia A Collaborative Approach to Patient Care Christopher LeSar, MD Vascular Institute of Chattanooga July 28, 2017 Surgeons idea Surgeons idea represents the final stage of peripheral
INTRODUCTION. CLI patients are at risk for limb loss and potentially fatal complications from progression of gangrene and development of sepsis.
A RETROSPECTIVE STUDY ON LOWER EXTREMITY AMPUTATION LEVELS FOLLOWING ENDOVASCULAR REPERFUSION: AN INSTITUTIONAL REVIEW OF PODIATRIC MANAGEMENT IN THE LIMB SALVAGE TEAM Tyler Wishau, DPM; Jesse Wolfe, DPM;
Medical Policy Original Effective Date: 01/23/2019
Page 1 of 12 Disclaimer Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on all plans or the plan may have broader or more limited benefits
Disclosures. Talking Points. An initial strategy of open bypass is better for some CLI patients, and we can define who they are
An initial strategy of open bypass is better for some CLI patients, and we can define who they are Fadi Saab, MD, FASE, FACC, FSCAI Metro Heart & Vascular Metro Health Hospital, Wyoming, MI Assistant Clinical
STPH Clinic for Wound Care and Hyperbaric Medicine
STPH Clinic for Wound Care and Hyperbaric Medicine Ochsner/St. Tammany Partnership John Kessels, MD Medical Director St. Tammany Wound Center Chantal Lorio, DPM Associate Medical Director Ochsner Wound
SPINACH Making Limb Salvage Salad from Spinach alone
SPINACH Making Limb Salvage Salad from Spinach alone Surgical reconstruction versus Peripheral Intervention in patients with critical limb ischemia prospective multicenter registry in Japan Nobuyoshi Azuma,
For No-Option patients, there is now another option. Dr. Michael Lichtenberg, Klinikum Arsnberg, Germany
From No Hope to New Hope For No-Option patients, there is now another option. Dr. Michael Lichtenberg, Klinikum Arsnberg, Germany Our Unique Solution The LimFlow system leverages a scientifically proven
PAD Characterization Within A Healthcare System" RAPID Face-to-Face Meeting Schuyler Jones, MD September 14, 2016
PAD Characterization Within A Healthcare System" RAPID Face-to-Face Meeting Schuyler, MD September 14, 2016 Interventional Cardiology and Cath Labs Disclosures Research Grants: Agency for Healthcare Research
Arterial Studies And The Diabetic Foot Patient
Arterial Studies And The Patient George L. Berdejo, BA, RVT, FSVU gberdejo@wphospital.org Disclosures I have nothing to disclose! Diabetes mellitus continues to grow in global prevalence and to consume
Fluorescence Angiography in Limb Salvage
Fluorescence Angiography in Limb Salvage Ryan H. Fitzgerald, DPM, FACFAS Associate Professor of Surgery-University Of South Carolina School of Medicine, Greenville Etiology of Lower extremity wounds Neuropathy
VTE Prophylaxis. NICE guidance. Providing venous thromboembolism (VTE) prophylaxis to all at risk hospital patients
NICE guidance NICE guidance (MTG19) supports the use of the geko device for people who have a high risk of VTE and for whom pharmacological or other mechanical methods of VTE prevention are impractical
Validation and Clinical Utility of the SVS WIfI Threatened Limb Classification
Validation and Clinical Utility of the SVS WIfI Threatened Limb Classification PRESENTED BY: 11 th Houston Aortic Symposium 15 February 2018 Joseph L. Mills, Sr., M.D. Reid Endowed Professor of Surgery
GETTING OUR PATIENTS WALKING HOME:
The Center for Human Appearance at Penn Presents GETTING OUR PATIENTS WALKING HOME: A MULTIDISCIPLINARY APPROACH TO LOWER EXTREMITY RECONSTRUCTION A CME CERTIFIED COURSE Friday-Saturday November 4 5, 2011
EVALUATION OF THE VASCULAR STATUS OF DIABETIC WOUNDS Travis Littman, MD NorthWest Surgical Specialists
EVALUATION OF THE VASCULAR STATUS OF DIABETIC WOUNDS Travis Littman, MD NorthWest Surgical Specialists Nothing To Disclosure DISCLOSURES I have no outside conflicts of interest, financial incentives, or
Stratifying Management Options for Patients with Critical Limb Ischemia: When Should Open Surgery Be the Initial Option for CLI?
Stratifying Management Options for Patients with Critical Limb Ischemia: When Should Open Surgery Be the Initial Option for CLI? Peter F. Lawrence, M.D. Gonda Vascular Center Division of Vascular Surgery
Fluorescent Angiography: Practical uses in the Clinical Setting
Fluorescent Angiography: Practical uses in the Clinical Setting Charles Andersen MD, FACS, MAPWCA Chief Vascular/Endovascular/ Limb Preservation Surgery Service (Emeritus) Chief of Wound Care Service Madigan
Lower Extremity Peripheral Arterial Disease: Its All About the Pulse. Spence M Taylor, M.D.
Lower Extremity Peripheral Arterial Disease: Its All About the Pulse Spence M Taylor, M.D. President, Greenville Health System Clinical University Senior Associate Dean for Academic Affairs and Diversity
Surgery is and Remains the Gold Standard for Limb-Threatening Ischemia
Surgery is and Remains the Gold Standard for Limb-Threatening Ischemia Albeir Mousa, MD., FACS.,MPH., MBA Professor of Vascular and Endovascular Surgery West Virginia University Disclosure None What you
Berman distal revascularization-interval
13 487 491 2004 distal revascularization-interval ligation DRIL 75 2003 11 10 20 0 mmhg 35 distal revascularization-interval ligation DRIL 90mmHg 0.56 DRIL 13 487 491 2004 70 1 dialysis access-associated
Nurse and Technician Forum Part II Critical Limb Ischemia: Optimal care, an interdisciplinary challenge
L E I P Z I G I N T E R V E N T I O N A L C O U R S E 2017 Nurse and Technician Forum Part II Critical Limb Ischemia: Optimal care, an interdisciplinary challenge Markus Haumer Landesklinikum Baden-Mödling
The Great Debate: Offloading Diabetic Foot Ulcers: TCC vs. CAM Walkers Gregory A Bohn, MD MAPWCA, ABPM/UHMS
The Great Debate: Offloading Diabetic Foot Ulcers: TCC vs. CAM Walkers Gregory A Bohn, MD MAPWCA, ABPM/UHMS Department of Surgery Central Michigan School of Medicine Tawas, Michigan Disclosures Medical/Scientific
Global Vascular Guideline on the Management of Chronic Limb Threatening Ischemia -a new foundation for evidence-based care
Global Vascular Guideline on the Management of Chronic Limb Threatening Ischemia -a new foundation for evidence-based care Michael S. Conte MD Professor and Chief, Division of Vascular and Endovascular
New Guideline in venous ulcer treatment: dressing, medication, intervention
New Guideline in venous ulcer treatment: dressing, medication, intervention Kittipan Rerkasem, FRCS(T), PhD Department of Surgery Faculty of Medicine Chiang Mai University Topic Overview venous ulcer treatment
Endovascular Is The Way To Go: Revascularize As Many Vessels As You Can
Rafael Malgor, MD Assistant Professor of Surgery The University of Oklahoma, Tulsa Endovascular Is The Way To Go: Revascularize As Many Vessels As You Can Background Lower extremity anatomy (below the
PAD and CRITICAL LIMB ISCHEMIA: EVALUATION AND TREATMENT 2014
PAD and CRITICAL LIMB ISCHEMIA: EVALUATION AND TREATMENT 2014 Van Crisco, MD, FACC, FSCAI First Coast Heart and Vascular Center, PLLC Jacksonville, FL 678-313-6695 Conflict of Interest Bayer Healthcare
Arterial & Venous Ulcers. A Comprehensive Review Assessment & Management
Arterial & Venous Ulcers A Comprehensive Review Assessment & Management 1 Objectives Understand Arterial & Venous disease Understand the etiology of lower extremities ulcers Understand assessment of lower
Post-Thrombotic Syndrome(PTS) Conservative Treatment Options
Post-Thrombotic Syndrome(PTS) Conservative Treatment Options Dr. S. Kundu Scarborough Hospital-General Division Scarborough Vascular Group Toronto Endovascular Centre The Vein Institute of Toronto Scarborough
The Results Of Maggot Debridement Therapy In The Ischemic Leg: A Study On 89 Patients With 89 Wounds On The Lower Leg Treated With Maggots
ISPUB.COM The Internet Journal of Surgery Volume 9 Number 1 The Results Of Maggot Debridement Therapy In The Ischemic Leg: A Study On 89 Patients With 89 Wounds On The Lower Leg Treated With Maggots P
Hyperbaric Oxygen Utilization in Wound Care
Hyperbaric Oxygen Utilization in Wound Care Robert Barnes, MD, CWS Hyperbaric Center Sacred Heart Medical Center Riverbend Springfield, Oregon No relevant disclosures Diabetes and lower extremity wounds
DON T LET LEG PAIN BECOME A REAL THREAT.
DON T LET LEG PAIN BECOME A REAL THREAT. These three words have the power to change lives. Between 8 to 10 million Americans are estimated to suffer from poor blood flow to the legs and feet potentially
OMNIA case results: Lumee Oxygen measurements representative for CLI wound healing prognosis. M Werner 1 Feb 2018
OMNIA case results: Lumee Oxygen measurements representative for CLI wound healing prognosis M Werner 1 Feb 2018 Disclosure Speaker name:... I have the following potential conflicts of interest to report:
Ankle Brachial Index and Transcutaneous Partial Pressure of Oxygen as predictors of wound healing in diabetic foot ulcers
The Journal of Diabetic Foot Complications Ankle Brachial Index and Transcutaneous Partial Pressure of Oxygen as predictors of wound healing in diabetic foot ulcers Authors: Lalithambika CV 1, Nisha B
Lower Extremity Peripheral Arterial Disease: Less is Sometimes More. Spence M Taylor, M.D.
Lower Extremity Peripheral Arterial Disease: Less is Sometimes More Spence M Taylor, M.D. President, Greenville Health System Clinical University Senior Associate Dean for Academic Affairs and Diversity
Introduction. Risk factors of PVD 5/8/2017
PATHOPHYSIOLOGY AND CLINICAL FEATURES OF PERIPHERAL VASCULAR DISEASE Dr. Muhamad Zabidi Ahmad Radiologist and Section Chief, Radiology, Oncology and Nuclear Medicine Section, Advanced Medical and Dental
SAVE LIMBS SAVE LIVES!
SAVE LIMBS SAVE LIVES! PAD Awareness: The Key to Limb Preservation By Frank J Tursi, D.P.M., F.A.C.F.A.S. Epidemiology Over 12 million people are afflicted with PAD 11 Million of these-dm 4 Million DFU
Patient Brochure. Clearstream Technologies, Ltd. Moyne Upper Enniscorthy Co. Wexford, Ireland. PK Rev. 0 05/17
Patient Brochure Clearstream Technologies, Ltd. Moyne Upper Enniscorthy Co. Wexford, Ireland PK1411100 Rev. 0 05/17 LIFESTREAM Patient Brochure If you or a member of your family has been diagnosed with
The diabetic foot a focus on ischemia and infection
The diabetic foot a focus on ischemia and infection Stephan Morbach, MD Department of Diabetes and Angiology Marienkrankenhaus ggmbh Soest, Germany s.morbach@mkh-soest.de Epidemiology of Diabetic Foot
Solving the Compliance Riddle with Compression Garments Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC
Solving the Compliance Riddle with Compression Garments Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC Advisor, APMA Coding Committee Advisor, APMA MACRA Task Force Expert Panelist, Codingline Fellow, American
Anthony J. Cavallo, DPM Sentara Podiatry Specialists 4/27/2018. Lose a toe, Save a Limb: The Value of Complex Foot Reconstructions
Anthony J. Cavallo, DPM Sentara Podiatry Specialists 4/27/2018 Lose a toe, Save a Limb: The Value of Complex Foot Reconstructions Objectives Review the morbidity and mortality associated with amputation
Surgical Options for revascularisation P E T E R S U B R A M A N I A M
Surgical Options for revascularisation P E T E R S U B R A M A N I A M The goal Treat pain Heal ulcer Preserve limb Preserve life The options Conservative Endovascular Surgical bypass Primary amputation
VTE Prophylaxis. NEW NICE guidance. Providing venous thromboembolism (VTE) prophylaxis to all at risk hospital patients
NEW NICE guidance NICE guidance (MTG19) supports the use of the geko device for people who have a high risk of VTE and for whom pharmacological or other mechanical methods of VTE prevention are impractical
Treatment Strategies For Patients with Peripheral Artery Disease
Treatment Strategies For Patients with Peripheral Artery Disease Presented by Schuyler Jones, MD Duke University Medical Center & Duke Clinical Research Institute AHRQ Comparative Effectiveness Review
Lower Extremity Revascularization D oes Anesthesia Matter. Onaona Gurney PGY 4
Lower Extremity Revascularization D oes Anesthesia Matter Onaona Gurney PGY 4 Case Presentation 89yoM PMH of HTN, DM, HLD, BPH presented to podiatry with abscess to R great toe 5 weeks prior Drained by
Case study: Young athlete suffering from PTS recovers from traumatic foot ulcer, following use of the geko TM device.
Case study: Young athlete suffering from PTS recovers from traumatic foot ulcer, following use of the geko TM device.... Subject 34-year-old male, ex professional rugby player. Wound Type Lower left leg
Transmetatarsal amputation in an at-risk diabetic population: a retrospective study
The Journal of Diabetic Foot Complications Transmetatarsal amputation in an at-risk diabetic population: a retrospective study Authors: Merribeth Bruntz, DPM, MS* 1,2, Heather Young, MD 3,4, Robert W.
Role of free tissue transfer in management of chronic venous ulcer
Original Article Role of free tissue transfer in management of chronic venous ulcer K. Murali Mohan Reddy, D. Mukunda Reddy Department of Plastic Surgery, Nizams Institute of Medical Sciences, India. Address
ULCERS 1/12/ million diabetics in the US (2012) Reamputation Rate 26.7% at 1 year 48.3% at 3 years 60.7% at 5 years
Jay Christensen D.P.M Advanced Foot and Ankle of Wisconsin 2-4% of the population at any given time will have ulcers 0.06-0.20% of the total population Average age of patients 70 years increased as more
Determining Wound Diagnosis and Documentation Tips Job Aid
Determining Wound Diagnosis and Job Aid 1 Coding Is this a traumatic injury from an accident? 800 Codes - Injury Section of the Coding Manual Code by specific site of injury. Only use for accidents or
Are DES and DEB worth the cost in BTK interventions?
Are DES and DEB worth the cost in BTK interventions? Thomas Zeller, MD University Heart-Center Freiburg-Bad Krozingen Bad Krozingen, Germany -1- My Disclosures: Advisory Board: Medtronic-Invatec, Gore,
The SVS WIfI Classification: Does It Predict Amputation in Diabetic Patients?
The SVS WIfI Classification: Does It Predict Amputation in Diabetic Patients? Christopher J. Abularrage, MD, FACS The Bertram M. Bernheim Associate Professor of Surgery Division of Vascular Surgery and
CRITICAL LIMB ISCHEMIA UNITED STATES EPIDEMIOLOGY TABLE OF CONTENTS
CRITICAL LIMB ISCHEMIA UNITED STATES EPIDEMIOLOGY TABLE OF CONTENTS CRITICAL LIMB ISCHEMIA... 1 CONCLUSION... 9 U.S. CRITICAL LIMB ISCHEMIA PREVALENCE... 9 MARKET OPPORTUNITY ENDOVASCULAR... 9 MARKET OPPORTUNITY
Disclosures. Outpatient NPWT Options Free up Hospital Beds, but Do They Work? Objectives. Clinically Effective: Does it Work?
4/16/16 Disclosures Consultant, Volcano Corporation Outpatient Options Free up Hospital Beds, but Do They Work? UCSF Vascular Symposium 16 Jonathan Labovitz, DPM Medical Director, Foot & Ankle Center Associate
Clinical and social consequences of Buerger disease
Clinical and social consequences of Buerger disease Takashi Ohta, MD, Hiroyuki Ishioashi, MD, Minoru Hosaka, MD, and Ikuo Sugimoto, MD, Aichi, Japan Purpose: This study was undertaken to assess the clinical