1. Intermittent PneumaticCompression TherapyFor treating peripheral arterial disease (PAD)

2. Before you read on Arterial IPC therapy requires a doctors prescription. Such IPC devices can have life-changing benefits fornon-surgical patients with PAD. Over the course of afew months, physician-directed use of an arterial IPCdevice can save limbs from amputation. This is not a guide to be used as medical advice, but asexperts in this technology, wed like to share what weknow about arterial compression devices so you andyour patient can make a more educated decision. 3. Aspects to consider beforeprescribing an arterial IPCdevice 4. 1. Cuff Specifications The compression cuff s air bladders should cover asLarge airmuch tissue below the knee as bladderscompress 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. Cuff Inflation & Deflation Rates Research shows that quick inflation and deflation rates(under 0.5 sec) are of highest importance because they applyshear stress to the endothelium. Under shear stress,endothelial cells release a vasodilator (nitric oxide) that helpsopen the smallest arteries. With continued use overapproximately 3 months, collateral vessels form. Theprocess activated is arteriogenesis.ArtAssistBrand B Inflation & Deflation Foot rate comparisonsCalf ArtAssist Brand B 6. Cuff Pressure Now you know that cuffsshould have large bladders atthe foot, ankle & calf and that Cuff Pressuresthey should inflate and deflate 200quickly. But what kind of150pressure should the airbladders reach? 100 Pressure in 50mmHgThe answer that researchers 0found was 120 mmHg. Below NotJustToothis pressure, blood flow was Enough Right Much!not as high. Above 120 mmHgwas unnecessary and,furthermore, uncomfortable forpatients. 7. 2. Depth of Clinical Research Make sure the device youprescribe has clinical researchsupporting its claims. Not only can arterial IPC devicesimprove claudicationdistances, but their regular usecan also result in limb salvage. Ask the developer which kindsof trials have been done on theirown arterial IPC device. 8. On that note: Being optimized to treat arterial disease is of the utmostimportance for an arterial IPC device. Research has suggestedthat if a pump is NOT optimized for arterial disease, using itcould actually DECREASE blood flow doing more harmthan good! It is well worth the extra few moments to consider thefollowing, as it may impact the treatments efficacity: did themakers of this arterial pump design it specifically to treatarterial disease or is it simply a modified lymphedema/DVTprevention pump? And was it tested at medical institutionswith results published in peer-reviewed journals?Call up the devices developer.Straight answers are the best. 9. 3. Good Customer Experience? The compliance factorNeither the physician nor the devicedistributor can make absolutely sure apatient uses the arterial IPC device asdirected. If patient compliance ispoor, the results will be poor.It is therefore necessary tocommunicate to the patient that thistherapy presents the best chance oflimb salvage after other options havebeen exhausted, but only if used asdirected. 10. Customer Experience (contd) 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. Customer Experience (contd) 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. The Device That Comes Out onTop Theres only one number to call if you want toorder, prescribe, or just get more information about theArtAssist device: 888 4 LEG FLO (888-453-4356)ArtAssist Arterial Pump Technology The only deviceOptimized to treat PAD25+ published clinical studies 13. If it doesnt say ArtAssist it wont 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 limbsRecommended Rx:1 hour, 3 times per day for 90 daysDeveloper, manufacturer, and distributor ofArtAssist Arterial Pump TechnologyMade in the USAArtAssist.com 14. Notable Studies Performed with theArtAssist Device Sequential Compression Biomechanical Device in Patientswith Critical Limb Ischemia and NonreconstructiblePeripheral Vascular Disease. Sherif Sultan, MD, et al. J VascSurg 2011: 54; 440-7 A Randomized, Placebo-Controlled Limb Salvage Trial Usingthe ArtAssist Pneumatic Compression Device. GeorgeLouridas, MD. Vasc Ann Conference Philadelphia June 2006 Angiographic Improvement after Rapid IntermittentCompression Treatment (ArtAssist) for Small VesselObstruction. Paul van Bemmelen, MD, et al. Ann Vasc Surg2003: 17; 224-8 The ArtAssist Device in Chronic Lower Limb Ischemia: APilot Study. George Louridas, MD, et al. International Angiology2002: 21; 28-35