Leitlinie^[*]: Intermittierende pneumatische Kompression (IPK oder AIK)

 

^* Diese Leitlinie wurde von Experten im Rahmen einer Konsensuskonferenz erarbeitet, die am 24. April 2004 auf Schloss Weikersdorf/Baden bei Wien auf Initiative der Deutschen Gesellschaft für Phlebologie (DGP) und unter der Schirmherrschaft der Deutschen Gesellschaft für Phlebologie, der Schweizerischen Gesellschaft für Phlebologie und der Arbeitsgemeinschaft Phlebologie der Österreichischen Dermatologischen Gesellschaft stattfand. Die Konsensuskonferenz fand mit einer nicht gebundenen finanziellen Unterstützung der Industrie für Reise- und Hotelkosten statt. Die Leitlinie wurde vom Vorstand und Beirat der DGP sowie den beteiligten Experten nach ausführlicher Beratung am 1. März 2005 verabschiedet. Es wurde jede einzelne vorliegende randomisierte, kontrollierte Studie (randomized controlled trial; Abk. RCT1) hinsichtlich Empfehlungs- und Evidenzgrad bewertet und dahingehend beurteilt, ob sie in die Leitlinie aufgenommen werden konnte oder etwa wegen minderer Qualität ausgeschlossen werden musste. Im Vorfeld hatten die Teilnehmer zu jeder Publikation ihres ihnen zugedachten Themenkreises einen Evaluationsbogen erarbeitet, der dann zur Konferenz allen zur Diskussion vorlag.

• Literatur

• 1 Airaksinen O, Kolari TJ, Miettinen H. Elastic bandages and intermittent pneumatic compression for treatment of acute ankle sprains. Arch Phys Med Rehabil 1990; 71: 380-3.
• 2 Anand A. Complications associated with intermittent pneumatic compression device. Anesthesiology 2000; 93: 1556-7.
• 3 Armstrong DG, Nguyen HC. Intermittent pneumatic compression promoted healing in foot infections. Arch Surg 2000; 135: 1405-9.
• 4 Bailey JP, Krüger MP, Solano FX. et al. Prospective randomized trial of sequential compression devices vs low-dose warfarin for deep venous thrombosis prophylaxis in total hip arthroplasty. J Arthroplasty 1991; 6 Suppl 29-35.
• 5 Bergan JJ, Sparks S, Angle N. A comparison of compression pumps in the treatment of lymphedema. J Vasc Surg 1998; 32: 455-62.
• 6 Berliner E, Ozbilgin B, Zarin DA. A systemic review of pneumatic compression for treatment of chronic venous insufficiency and venous ulcers. J Vasc Surg 2003; 37: 539-44.
• 7 Boris M, Weindorf S, Lasinski BB. The risk of genital edema after exernal pump compression for lower limb lymphedema. Lymphology 1998; 31: 15-20.
• 8 Bradley JG, Krugener GH, Jager HJ. The effectiveness of intermittent plantar venous compression to prevention of deep venous thrombosis after total hip arthroplasty. J Arthroplasty 1993; 8: 57-61.
• 9 Cambier DL, De Corte E, Daniels LA. et al. Treating sensory impairment in the post-stoke upper limb with intermittent pneumatic compression. Clin Rehabil 2003; 17: 14-20.
• 10 Clagett GP, Reisch JP. Prevention of venous thromboembolism in general surgical patients. Ann Surg 1988; 208: 227-40.
• 11 Coe NP, Collins REC, Klein LA. et al. Prevention of deep vein thrombosis in urological patients. Surgery 1978; 83: 230-4.
• 12 Delis KT, Nicolaides AN, Wolfe JH. et al. Improving walking ability and ankle brachial pressure indices in symptomatic peripheral vascular disease with intermittent pneumatic foot compression. J Vasc Surg 2000; 31: 650-61.
• 13 Delis KT, Nicolaides N. Effect of intermittent pneumatic compression of foot and calf on walking distance, hemodynamics and quality of life in patients with arterial claudication. Ann Surg 2005; 241: 431-41.
• 14 Dini D, Del Mastro L, Gozza A. et al. The role of pneumatic compression in the treatment of postmastectomy lymphedema: A randomized phase III study. Ann Oncol 1998; 9: 187-90.
• 15 Elliot CG, Dudney TM, Egger M. et al. Calf-thigh sequential pneumatic compression compared with plantar venous pneumatic compression to prevent deep-vein thrombosis after non-lower extremity trauma. J Trauma 1999; 47: 25-32.
• 16 Francis CW, Pellegrini VD, Marder VJ. et al. Comparison of warfarin and external pneumatic compression in prevention of venous thrombosis after total hip replacement. JAMA 1992; 267: 2911-5.
• 17 Ginsberg JS, Magier D, Mackinnon B. et al. Intermittent compression units for severe post-phlebitic syndrome: a randomized crossover study. CMAJ 1999; 160: 1303-6.
• 18 Ginzburg E, Cohn SM, Lopez J. et al. Randomized clinical trial of intermittent pneumatic compression and low molecular weight heparin in trauma. Br J Surg 2003; 90: 1338-44.
• 19 Goldhaber SZ, Hirsch DR, Mac Dougall RS. et al. Prevention of venous thrombosis after coronary artery bypass surgery. Am J Cardiol 1995; 76: 993-6.
• 20 Grieveson S. Intermittent pneumatic compression pump settings for the optimum reduction of oedema. J Tissue Viability 2003; 13: 98-110.
• 21 Handoll HHG, Furrar MJ, McBimie J. et al. Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures. In: Cochrane Library 2004: 1 Oxford Update Software.
• 22 Hansberry KL, Thompson JM, Baumann J. et al. A prospective comparison of thromboembolic stockings external sequential pneumatic compression stockings and heparin sodium/dihydroergotamine mesylate for the prevention of thromboembolic complications in urological surgery. J Urol 1991; 145: 1205-8.
• 23 Hull RD, Raskob GE, Gent M. et al. Effectiveness of intermittent pneumatic leg compression for preventing deep vein thrombosis after total hip replacement. JAMA 1990; 263: 2313-7.
• 24 Johannsson K, Lie E, Ekdahl C. et al. A randomized study comparing manual lymph drainage with sequential pneumatic compression for treatment of postoperative arm lymphedema. Lymphology 1998; 31: 56-64.
• 25 Kaemffe FA, Lifeso RM, Meinking C. Intermittent pneumatic compression versus coumadin. Prevention of deep vein thrombosis lower extremity total joint arthroplasty. Clin Orthop Rel Res 1991; 269: 89-97.
• 26 Kamm R, Butcher R, Froelich J. et al. Optimisation of indices of external pneumatic compression for prophylaxis against deep vein thrombosis: radionuclide gated imaging studies. Cardiovasc Res 1986; 20: 588-96.
• 27 Kumar S, Samraj K, Nirujogi V. et al. Intermittent pneumatic compression as an adjuvant therapy venous ulcer disease. J Tissue Viability 2002; 12: 42-4.
• 28 Labropoulos N, Wierks C, Suffoletto B. Intermittent pneumatic compression for the treatment of low extremity arterial disease: a systematic view. Vasc Med 2002; 7: 141-8.
• 29 Lachmann EA, Rook JL, Tunkel R. et al. Complications associated with intermittent pneumatic compression. Arch Phys Med Rehabil 1992; 73: 482-5.
• 30 Mamdani MM, Weingarten CM, Stevenson JG. Thromboembolic prophylaxis in moderate-risk patients undergoing elective abdominal surgery: decision and cost-effectiveness analysis. Pharmacotherapy 1996; 16: 1111-27.
• 31 Maxwell GL, Synan I, Dodge R. et al. Pneumatic compression versus low molecular weight heparin in gynecologic oncology surgery. A randomized trial. Obstet Gynecol 2001; 98: 989-95.
• 32 Mc Culloch JM, Marler KC, Neal MB. et al. Intermittent pneumatic compression improves venous ulcer healing. Adv Wound Care 1994; 7: 22-4.
• 33 Mc Grory B, Burke DM. Peroneal nerve palsy following intermittent sequential pneumatic compression. Orthopedics 2000; 23: 1103-5.
• 34 Mc Leod A, Brooks D, Hale J. et al. A clinical report on the use of three external pneumatic compression devices in the management of lymphedema in a pediatric population. Physiotherapy Canada 1991; 43: 28-32.
• 35 Mellbring G, Palmer K. Prophylaxis of deep vein thrombosis after major abdominal surgery. Comparison between dihydroergotamine-heparin and intermittent pneumatic calf compression and evaluation of added graded static compression. Acta Chir Scand 1986; 152: 597-600.
• 36 Paiement G, Wessinger SJ, Waltman AC. et al. Low-dose warfarin versus external pneumatic compression for prophylaxis against venous thromboembolism following total hip replacement. J Arthropl 1987; 2: 23-6.
• 37 Parra RO. Pressure necrosis form intermittent pneumatic-compression stockings. N Engl J Med 1987; 321: 1615.
• 38 Pecking AP, Cluzan RV. Results of a self sequential pressotherapy as a substitute for classical decongestive therapy in a group of patients with a refractory upper limb lymphedema. XIX. Int. Congress of Lymphology 1.-6.9.2003 in Freiburg/ Germany.
• 39 Pittmann GR. Peroneal nerve palsy following sequential pneumatic compression. JAMA 1989; 261: 2201-2.
• 40 Pohjola RT, Pekanmäki K, Kolari PJ. Intermittent pneumatic compression of lymphoedema. Eur J Lymphol 1995; 5: 87-90.
• 41 Proctor MC, Greenfield LJ, Wakefield TM. et al. A clinical comparison of pneumatic compression devices. J Vasc Surg 2001; 34: 459-65.
• 42 Ramaswami R, Fisher CM, Geroulakos G. et al. Cost-effectiveness of prophylaxis of deep vein thrombosis in general surgery. Br J Surg 1993; 80: 1483-4.
• 43 Rithalia SVS, Heath GH, Gonsalkorale M. Evaluation of intermittent pneumatic compression systems. J Tissue Viability 2002; 12: 52-7.
• 44 Roper TA, Redford S, Tallis RC. Intermittent compression for the treatment of the oedematous hand in hemiplegic stroke: a randomized controlled trial. Age Ageing 1999; 28: 9-13.
• 45 Ryan MG, Westrich GH, Potter HG. et al. Effect of mechanical compression on the prevalence of proximal deep venous thrombosis as assessed by magnetic resonance venography. J Bone Joint Surg 2002; 84: 1998-2004.
• 46 Schuler JJ, Maibenco T, Megerman J. et al. Treatment of chronic venous ulcers using sequential gradient intermittent pneumatic compression. Phlebology 1996; 11: 111-6.
• 47 Siddiqui AU, Buchman TG, Hotchkiss RS. Pulmonary embolism as an consequence of applying sequential compression device on legs in a patient asymptomatic of deep vein thrombosis. Anesthesiology 2000; 92: 880-2.
• 48 Skall H, Haedersdal C, Winkel H. et al. Manual lymphdrainage compared with sequential pneumatic compression, evaluated by volumetrical and scintigraphical techniques and by health survey SF-36. XIX. International Congress of Lymphology 1.-6.9.2003 Freiburg/Germany.
• 49 Skillman JJ, Collins REC, Coe NP. et al. Prevention of deep vein thrombosis in neurosurgical patients: A controlled randomized trial of external pneumatic boots. Surgery 1978; 83: 354-8.
• 50 Smith PC, Sarin S, Hasty J. et al. Sequential gradient pneumatic compression enhances venous ulcer healing: a randomized trial. Surgery 1990; 108: 871-5.
• 51 Soderdahl DW, Henderson SR, Hansberry KL. A comparison of intermittent pneumatic compression of the calf and whole leg in preventing deep venous thrombosis in urological surgery. J Urol 1997; 157: 1774-6.
• 52 Stannard JT, Harris RM, Bucknell AL. et al. Prophylaxis of deep venous thrombosis after total hip arthroplasty by using intermittent compression of the plantar venous plexus. Am J Orthop 1996; 25: 127-34.
• 53 Szuba A, Achalu R, Rockson SG. Decongestive lymphatic therapy for patients with breast carcinoma- associated lymphedema. A randomized, prospective study of a role for adjunctive intermittent pneumatic compression. Cancer 2002; 95: 2260-7.
• 54 Tamir L, Hendel D, Neyman C. et al. Sequential foot compression reduces low limb swelling and pain after total knee arthroplasty. J Arthroplasty 1999; 14: 333-8.
• 55 Thordarson DB, Ghalambor N, Perlman M. Intermittent pneumatic pedal compression and edema resolution after acute ankle fracture: a randomized study. Foot Ankle Int 1997; 18: 347-50.
• 56 Thordarson DB, Greene N, Shepherd L. et al. Facilitating edema resolution with a foot pump after calcaneus fracture. J Orthop Trauma 1999; 13: 43-6.
• 57 Turpie AG, Hirsh J, Gent M. et al. Prevention of deep vein thrombosis in potential neurosurgical patients. A randomized trial comparing graduated compression stockings alone or graduated compression stockings plus intermittent pneumatic compression with control. Arch Intern Med 1989; 149: 679-81.
• 58 Vanek VW. Meta-analysis of effectiveness of intermittent pneumatic compression devices with a comparison of thigh high to knee-high sleeves. Am Surg 1998; 64: 1050-8.
• 59 Warwick D, Harrison J, Glew D. et al. Comparison of the use of a foot pump with the use of low-molecular- weight heparin for the prevention of deepvein thrombosis after hip replacement. A prospective, randomized trial. J Bone Joint Surg Am 1998; 80: 1158-66.
• 60 Werbel GB, Shybut GT. Acute compartment syndrome caused by a malfunctioning pneumaticcompression boot. J Bone Joint Surg 1986; 68: 1445-6.
• 61 Westrich GH, Haas SB, Mosca P. et al. Meta-analysis of thromboembolic prophylaxis after total knee arthroplasty. J Bone Joint Surg Br 2000; 82: 795-800.