Comparison of Treatment Modalities in Augmenting Arterial Blood Flow to the Leg

Circulator Boot Bypass Balloon Angioplasty
Delay Before Initiating Therapy
 None Days Days
Rapidity of Effect of Treatment
 Slow Immediate Immediate
Effect on Angiogenesis *
 ?Promotes Decreases Decreases
Options in use of Local Antibiotics
 Yes No No
Effect of Treatment Failure on Success of Other Subsequent Procedures
 Improves Decreases Decreases
Complications
 No Yes Yes
Effect on male potency**
 May improve May decrease May decrease
Improved Vascular Tests
 Yes Yes Yes
Benefit Shown by Prospective Controlled Studies***
 Yes No No
Need for Arteriogram
 No Yes Yes
Need for Blood Transfusions
 No Yes Yes/No
Need for Usable Vein
 No Yes No
Safe in High Risk Patients ****
 Yes No No
Limitation of Treatment due to:
Diseased Proximal Vessel
 No Yes Yes
Occlusions Over 10cm
 No No Yes
Poor Runoff
 No Yes Yes
Potential Treatment Locations:
Patient's Home
 Yes No No
Doctor's Office
 Yes No No
Nursing Home
 Yes No No
Hospital
 Yes Yes Yes
* (based on tissue hypoxia)
** (commonly decreased by bypass which provides a denervated runoff and occasionally decreased after angioplasty of common iliac if blockage or emboli to internal iliac produced)
*** (for abstract, see Dillon, Angiology 1997 in Boot Literature section)
*** (for full study, click below)(No bypass or angioplasty controlled studies on diabetic foot... see our Claudication and Angioplasty libraries for studies on claudication and critical ischemia)
**** (congestive heart failure, myocardial infarction, acute or chronic renal failure)
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2177 Cases "Prospective" study
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