PDF herunterladen
Phlebologie 2005; 34(03): 176-180
DOI: 10.1055/s-0038-1638997
Original Article
Schattauer GmbH

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

Entwicklungsstufe S2
V. Wienert
1   Dermatologische Universitätskliniken Aachen
,
H. Partsch
2   Dermatologische Universitätskliniken Wien
,
G. Gallenkemper
3   Dermatologische Universitätskliniken Krefeld
,
H. Gerlach
4   Dermatologische Universitätskliniken Mannheim
,
M. Jünger
5   Dermatologische Universitätskliniken Greifswald
,
M. Marschall
6   Dermatologische Universitätskliniken Rottach-Egern
,
E. Rabe
7   Dermatologische Universitätskliniken Bonn
› Institutsangaben
Weitere Informationen

Publikationsverlauf





Publikationsdatum:
06. März 2018 (online)

    Lizenzen und Reprints

Leitlinien sind systematisch erarbeitete Empfehlungen, um den Arzt in Klinik und Praxis bei Entscheidungen über eine angemessene Versorgung des Patienten im Rahmen spezifischer klinischer Umstände zu unterstützen. Leitlinien gelten für Standardsituationen und berücksichtigen die aktuellen, zu den entsprechenden Fragestellungen zur Verfügung stehenden wissenschaftlichen Erkenntnisse. Leitlinien bedürfen der ständigen Überprüfung und eventuell der Änderung auf dem Boden des wissenschaftlichen Erkenntnisstandes und der Praktikabilität in der täglichen Praxis. Durch die Leitlinien soll die Methodenfreiheit des Arztes nicht eingeschränkt werden. Ihre Beachtung garantiert nicht in jedem Fall den diagnostischen und therapeutischen Erfolg. Leitlinien erheben keinen Anspruch auf Vollständigkeit. Die Entscheidung über die Angemessenheit der zu ergreifenden Maßnahmen trifft der Arzt unter Berücksichtigung der individuellen Problematik.

* 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.

* 1 Die RCTs wurden nach folgenden Kriterien bewertet: Evidenzgrade (EV-GR) aufgrund

* I. Metaanalyse oder systematischer Review von RCTs oder mehrerer RCTs,

* II. eine RCT oder systematische Reviews von Kohortenstudien oder einer oder mehrerer Kohortenstudien,

* III. systematische Reviews von Fall-Kontrollstudien oder einer oder mehrerer Fallkontrollstudien,

* IV. Fall-Serien.


** Die Literaturangaben beziehen sich ausschließlich auf Studien, die in der Leitlinie verwendet wurden (Evidenzgrad I-II, Empfehlungsgrad A-B).


 

  • Literatur[(*]

  • 1 Airaksinen O, Kolari TJ, Miettinen H. Elastic bandagesand intermittent pneumatic compression for treatment of acute ankle sprains. Arch Phys Med Rehabil 1990; 71: 380-3.
    PubMedGoogle Scholar
  • 2 Anand A. Complications associated with intermittent pneumatic compression device. Anesthesiology 2000; 93: 1556-7.
    CrossrefPubMedGoogle Scholar
  • 3 Armstrong DG, Nguyen HC. Intermittent pneumatic compression promoted healing in foot infections. Arch Surg 2000; 135: 1405-9.
    CrossrefPubMedGoogle Scholar
  • 4 Bailey JP, Krüger MP, Solano FX. et al. Prospective randomized trial of sequential compressionde-vices vs low-dosewarfarin for deep venous thrombosis prophylaxis in total hip arthroplasty. J Arthroplasty 1991; 6 (Suppl) 29-35.
    CrossrefPubMedGoogle Scholar
  • 5 Bergan JJ, Sparks S, Angle N. Acomparison of compression pumps in the treatment of lymphedema. JVasc Surg 1998; 32: 455-62.
    Google Scholar
  • 6 Berliner E, Ozbilgin B, Zarin DA. A systemic reviewofpneumatic compression for treatment of chronic venous insufficiencyand venous ulcers. J Vasc Surg 2003; 37: 539-44.
    CrossrefPubMedGoogle Scholar
  • 7 Boris M, Weindorf S, Lasinski BB. The risk of genital edema after exernal pumpcompression for lowerlimb lymphedema. Lymphology 1998; 31: 15-20.
    PubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 9 Cambier DL, De Corte E, Daniels LA. et al. Treating sensoryimpairment in the post-stoke upper limb with intermittent pneumatic compression. Clin Rehabil 2003; 17: 14-20.
    CrossrefPubMedGoogle Scholar
  • 10 Clagett GP, Reisch JP. Prevention of venous thromboembolism in generalsurgical patients. Ann Surg 1988; 208: 227-40.
    CrossrefPubMedGoogle Scholar
  • 11 Coe NP, Collins REC, Klein LA. et al. Prevention of deep vein thrombosis in urologicalpatients. Surgery 1978; 83: 230-4.
    PubMedGoogle Scholar
  • 12 Delis KT, Nicolaides AN, Wolfe JH. et al. Improving walking ability and ankle brachialpressure indices in symptomatic peripheral vascular disease with intermittent pneumatic foot compression. JVasc Surg 2000; 31: 650-61.
    Google Scholar
  • 13 Delis KT, Nicolaides N. Effect of intermittent pneumatic compression of foot and calf on walking distance, hemodynamicsand quality of life in patients with arterial claudication. Ann Surg 2005; 241: 431-41.
    CrossrefPubMedGoogle Scholar
  • 14 Dini D, Del Mastro L, Gozza A. et al. The role of pneumatic compression in the treatment of post-mastectomylymphedema: Arandomized phase III study. Ann Oncol 1998; 9: 187-90.
    CrossrefPubMedGoogle Scholar
  • 15 Elliot CG, Dudney TM, Egger M. et al. Calf-thigh sequential pneumatic compression compared with plantarvenouspneumatic compression to prevent deep-vein thrombosis after non-lowerextremity trauma. JTrauma 1999; 47: 25-32.
    Google Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 17 Ginsberg JS, Magier D, Mackinnon B. et al. Intermittent compression units for severe post-phlebitic syndrome: arandomized crossover study. CMAJ 1999; 160: 1303-6.
    Google Scholar
  • 18 Ginzburg E, Cohn SM, Lopez J. et al. Randomized clinical trial of intermittent pneumatic compression and lowmolecular weight heparin in trauma. Br JSurg 2003; 90: 1338-44.
    CrossrefPubMedGoogle Scholar
  • 19 Goldhaber SZ, Hirsch DR, Mac Dougall RS. et al. Prevention of venous thrombosis after coronary arterybypass surgery. Am J Cardiol 1995; 76: 993-6.
    CrossrefPubMedGoogle Scholar
  • 20 Grieveson S. Intermittent pneumatic compression pump settings for the optimum reduction of oedema. J Tissue Viability 2003; 13: 98-110.
    PubMedGoogle Scholar
  • 21 Handoll HHG, Furrar MJ, McBimie J. et al. Heparin, lowmolecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonaryembolism following surgery for hip fractures. In: Cochrane Library. 2004. 1Oxford Update Software.;
    Google Scholar
  • 22 Hansberry KL, Thompson JM, Baumann J. et al. A prospective comparison of thromboembolicstockingsexternal sequential pneumatic compression stockings and heparin sodium/dihydroergota-mine mesylate for the prevention of thromboembolic complications in urological surgery. J Urol 1991; 145: 1205-8.
    CrossrefPubMedGoogle Scholar
  • 23 Hull RD, Raskob GE, Gent M. et al. Effectiveness of intermittent pneumatic legcompression for preventing deep vein thrombosis aftertotal hip replacement. JAMA 1990; 263: 2313-7.
    CrossrefPubMedGoogle Scholar
  • 24 Johannsson K, Lie E, Ekdahl C. et al. Arandomized study comparing manual lymph drainage with sequential pneumatic compression for treatment of postoperative armlymphedema. Lymphology 1998; 31: 56-64.
    PubMedGoogle Scholar
  • 25 Kaemffe FA, Lifeso RM, Meinking C. Intermittent pneumatic compression versus coumadin. Prevention of deep vein thrombosis lowerextremity total joint arthroplasty. Clin Orthop Rel Res 1991; 269: 89-97.
    Google Scholar
  • 26 Kamm R, Butcher R, Froelich J. et al. Optimisation of indicesofexternal pneumatic compression for prophylaxis against deep vein thrombosis: radionuclide gated imaging studies. Cardiovasc Res 1986; 20: 588-96.
    CrossrefPubMedGoogle Scholar
  • 27 Kumar S, Samraj K, Nirujogi V. et al. Intermittent pneumatic compression as an adjuvant therapy venousulcerdisease. J Tissue Viability 2002; 12: 42-4.
    PubMedGoogle Scholar
  • 28 Labropoulos N, Wierks C, Suffoletto B. Intermittent pneumatic compression for the treatment of lowextremity arterial disease: asystematic view. Vasc Med 2002; 7: 141-8.
    CrossrefPubMedGoogle Scholar
  • 29 Lachmann EA, Rook JL, Tunkel R. et al. Complications associatedwith intermittent pneumatic compression. Arch Phys Med Rehabil 1992; 73: 482-5.
    PubMedGoogle Scholar
  • 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.
    PubMedGoogle Scholar
  • 31 Maxwell GL, Synan I, Dodge R. et al. Pneumatic compression versus lowmolecular weight heparin in gynecologic oncology surgery. Arandomized trial. Obstet Gynecol 2001; 98: 989-95.
    PubMedGoogle Scholar
  • 32 Mc Culloch JM, Marler KC, Neal MB. et al. Intermittent pneumatic compression improves venous ulcer healing. Adv Wound Care 1994; 7: 22-4.
    PubMedGoogle Scholar
  • 33 Mc Grory B, Burke DM. Peroneal nerve palsy following intermittent sequential pneumatic compression. Orthopedics 2000; 23: 1103-5.
    PubMedGoogle Scholar
  • 34 Mc Leod A, Brooks D, Hale J. et al. A clinical report on the use of three external pneumatic compression devicesinthe management of lymphedema in apediatric population. Physiotherapy Canada 1991; 43: 28-32.
    Google Scholar
  • 35 Mellbring G, Palmer K. Prophylaxis of deepvein thrombosis after major abdominal surgery. Comparison betweendihydroergotamine-heparin and intermittent pneumatic calf compression and evaluation of addedgraded static compression. Acta ChirScand 1986; 152: 597-600.
    Google Scholar
  • 36 Paiement G, Wessinger SJ, Waltman AC. et al. Low-dosewarfarin versus external pneumatic compression for prophylaxis against venous thromboembolism following total hip replacement. J Arthropl 1987; 2: 23-6.
    CrossrefPubMedGoogle Scholar
  • 37 Parra RO. Pressurene cros is form intermittent pneumatic-compression stockings. N Engl JMed 1987; 321: 1615.
    Google Scholar
  • 38 Pecking AP, Cluzan RV. Results of aself sequential press otherapy as a substitute for classical de-congestive therapyinagroup of patients with arefractory upper limb lymphedema. XIX. Int.; Congress of Lymphology 1.-6.9.2003 in Freiburg/ Germany.
    Google Scholar
  • 39 Pittmann GR. Peroneal nerve palsy following sequential pneumatic compression. JAMA 1989; 261: 2201-2.
    PubMedGoogle Scholar
  • 40 Pohjola RT, Pekanmäki K, Kolari PJ. Intermittent pneumatic compression of lymphoedema. Eur J Lymphol 1995; 5: 87-90.
    Google Scholar
  • 41 Proctor MC, Greenfield LJ, Wakefield TM. et al. A clinical comparison of pneumatic compression devices. J Vasc Surg 2001; 34: 459-65.
    CrossrefPubMedGoogle Scholar
  • 42 Ramaswami R, Fisher CM, Geroulakos G. et al. Cost-effectiveness of prophylaxis of deep vein thrombosis in general surgery. Br JSurg 1993; 80: 1483-4.
    Google Scholar
  • 43 Rithalia SVS, Heath GH, Gonsalkorale M. Evaluation of intermittent pneumatic compression systems. J Tissue Viability 2002; 12: 52-7.
    PubMedGoogle Scholar
  • 44 Roper TA, Redford S, Tallis RC. Intermittent compression for the treatment of the oedematous hand in hemiplegic stroke: arandomized controlled trial. Age Ageing 1999; 28: 9-13.
    CrossrefPubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 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.
    CrossrefGoogle Scholar
  • 47 Siddiqui AU, Buchman TG, Hotchkiss RS. Pulmonaryembolism as an consequence of applying sequential compression device on legs in apatient asymptomatic of deep vein thrombosis. Anesthesiology 2000; 92: 880-2.
    CrossrefPubMedGoogle Scholar
  • 48 Skall H, Haedersdal C, Winkel H. et al. Manual lymphdrainage compared with sequential pneumatic compression, evaluatedbyvolumetrical and scintigraphicaltechniques and by health survey SF-36. XIX. International Congress of Lymphology; 1.-6.9.2003 Freiburg/Germany.
    Google Scholar
  • 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.
    PubMedGoogle Scholar
  • 50 Smith PC, Sarin S, Hasty J. et al. Sequential gradientpneumatic compression enhances venous ulcer healing: arandomized trial. Surgery 1990; 108: 871-5.
    PubMedGoogle Scholar
  • 51 Soderdahl DW, Henderson SR, Hansberry KL. A comparison of intermittent pneumatic compression of the calf and whole leginpreventing deep venous thrombosis in urological surgery. J Urol 1997; 157: 1774-6.
    CrossrefPubMedGoogle Scholar
  • 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 JOrthop 1996; 25: 127-34.
    Google Scholar
  • 53 Szuba A, Achalu R, Rockson SG. Decongestive lymphatic therapy for patients with breast carcinoma-associated lymphedema. A randomized, prospective study of arole for adjunctive intermittent pneumatic compression. Cancer 2002; 95: 2260-7.
    CrossrefPubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 55 Thordarson DB, Ghalambor N, Perlman M. Intermittent pneumatic pedalcompression and edema resolution after acute ankle fracture: arandomized study. Foot Ankle Int 1997; 18: 347-50.
    CrossrefPubMedGoogle Scholar
  • 56 Thordarson DB, Greene N, Shepherd L. et al. Facilitating edema resolution withafoot pump after calcaneus fracture. JOrthop Trauma 1999; 13: 43-6.
    Google Scholar
  • 57 Turpie AG, Hirsh J, Gent M. et al. Prevention of deep vein thrombosis in potential neurosurgical patients. Arandomized trial comparing graduated compression stockings aloneorgraduated compression stockingsplus intermittent pneumatic compression with control. ArchInternMed 1989; 149: 679-81.
    Google Scholar
  • 58 Vanek VW. Meta-analysis of effectiveness of intermittent pneumatic compression devices with a comparison of thigh hightoknee-high sleeves. Am Surg 1998; 64: 1050-8.
    Google Scholar
  • 59 Warwick D, Harrison J, Glew D. et al. Comparison of the use of afoot pump with the use of low-molecular-weight heparin for the prevention of deep-vein thrombosis afterhip replacement. A prospective, randomized trial. J Bone Joint Surg Am 1998; 80: 1158-66.
    CrossrefPubMedGoogle Scholar
  • 60 Werbel GB, Shybut GT. A cute compartment syndrome caused by amalfunctioning pneumatic-compression boot. JBone Joint Surg 1986; 68: 1445-6.
    Google Scholar
  • 61 Westrich GH, Haas SB, Mosca P. et al. Meta-analysis of thromboembolic prophylaxis after total knee arthroplasty. J Bone Joint SurgBr 2000; 82: 795-800.
    Google Scholar