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Volume 55, Issue 3, Pages 384-390 (May 2010) The impact of intermittent pneumatic compression devices on deep venous flow velocity in patients with congestive heart failure Yoshio Nose, MD, Kazuya Murata, MD, FJCC, Yasuaki Wada, MD, Takeo Tanaka, MD, Yasuhiro Fukagawa, MD, Hiroko Yoshino, MD, Takehisa Susa, MD, Chikage Kihara, MD, Masunori Matsuzaki, MD, FJCC Journal of Cardiology Volume 55, Issue 3, Pages 384-390 (May 2010) DOI: 10.1016/j.jjcc.2010.01.002 Copyright © 2010 Japanese College of Cardiology Terms and Conditions

Figure 1 Intermittent pneumatic compression devices. (A) Sequential foot and calf intermittent pneumatic compression device (Veno Stream 601-J unit, Terumo, Tokyo, Japan): the device consists of an electrically driven air compressor and four air chambers, which are inflated sequentially from the sole (1) to the knee (4) in 10s. (B) Impulse foot intermittent pneumatic compression device (AV impulse, Kobayashi Medical, Osaka, Japan): the device consists of a pneumatic impulse generator and one plastic inflatable foot pad. This system operated at applied pressure of 130mmHg, deflation pressure 0mmHg and inflation time 1s. SFC-IPC, sequential foot and calf intermittent pneumatic compression device; IF-IPC, impulse foot intermittent pneumatic compression device. Journal of Cardiology 2010 55, 384-390DOI: (10.1016/j.jjcc.2010.01.002) Copyright © 2010 Japanese College of Cardiology Terms and Conditions

Figure 2 The effects of two intermittent pneumatic compression devices on popliteal and soleal venous flow velocities. Popliteal (A) and soleal (B) venous flow velocities in control subjects and in patients with CHF. With SFC-IPC, the venous flow velocity increased in the quad-phase in both groups with sequential inflation of the air chambers from the sole to the knee. With IF-IPC, the venous flow velocity rose rapidly and decreased within a short time. C, control subjects; CHF, congestive heart failure; SFC-IPC, sequential foot and calf intermittent pneumatic compression device; IF-IPC, impulse foot intermittent pneumatic compression device. Journal of Cardiology 2010 55, 384-390DOI: (10.1016/j.jjcc.2010.01.002) Copyright © 2010 Japanese College of Cardiology Terms and Conditions

Figure 3 The peak velocities of the popliteal vein with or without intermittent pneumatic compression. Peak popliteal venous flow was attenuated in patients with CHF at rest. The SFC-IPC increased peak flow velocity of the popliteal vein in patients with CHF as well as in control subjects, but the increased velocity with IF-IPC in CHF patients was lower than that in control subjects. CHF, congestive heart failure; SFC-IPC, sequential foot and calf intermittent pneumatic compression device; IF-IPC, impulse foot intermittent pneumatic compression device. Journal of Cardiology 2010 55, 384-390DOI: (10.1016/j.jjcc.2010.01.002) Copyright © 2010 Japanese College of Cardiology Terms and Conditions

Figure 4 The peak velocities of the soleal vein with or without intermittent pneumatic compression. There was no difference between peak soleal venous velocities in control subjects and in patients with CHF in the absence or presence of IPC devices. CHF, congestive heart failure; SFC-IPC, sequential foot and calf intermittent pneumatic compression device; IF-IPC, impulse foot intermittent pneumatic compression device. Journal of Cardiology 2010 55, 384-390DOI: (10.1016/j.jjcc.2010.01.002) Copyright © 2010 Japanese College of Cardiology Terms and Conditions