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Clinical Studies
CircAid Legging vs.
Compression Stocking Pressure Comparison
CircAid
Legging vs. the Unna
Boot
CircAid Legging vs. Compression Stockings
Pressures Under CircAid Leggings vs. Stockings
CircAid Legging vs. Conventional Four-Layer System
Ulcer Healing Rates
Comparison Chart of
Compression Devices
Click HERE
for Case Studies
CircAid Legging
vs. Stocking Pressure Comparison
Directed
by Alan R. Hargens, Ph.D., at UCSD Medical Center,
this
study compared skin surface pressures underneath the inelastic CircAid T-3 M
garment with Built-In Pressure System vs. an elastic 30-40mmHg below-knee
compression stocking.
The CircAid T-3 M leggings
produced significantly higher skin pressures than elastic leggings at both leg
regions (p<.001).
Mean pressures using the CircAid T-3 M leggings over all trials were 47±3
and 35±2 mmHg for ankle and below-knee regions, respectively.
Mean pressures using the elastic leggings over all trials were 26±2 and 23±1mmHg
for ankle and below-knee regions, respectively.
Only the CircAid T-3 M leggings produced a significant reverse-pressure
gradient between the knee and the ankle (p<.05), whereas the elastic leggings
did not.
Presented at the 19th annual meeting of the American Venous Forum,
February 2007. Published 2008 in Vascular, Volume 16, Issue 1 .
CIRCAID THERA-BOOT VS. UNNA BOOT
RG DePalma, M.D., RK Spence, M.D., JA Caprini,
M.D., MR Nehler, M.D., J. Jenson, D.P.M., MP Goldman, M.D., WP Bundens, M.D. In
a multi-center prospective, randomized study, the cost and healing rates for
treatment of venous ulcers was compared between the CircAid Thera-Boot and Unna
boot. Cost of treatment was significantly less. The total cost of treatment was
38% less with the Thera-Boot and this difference was statistically significant.
Healing rates were 45% faster with the Thera-Boot, though this value did not
reach statistical significance because of large standard deviations. Presented
at the eleventh annual meeting of the American Venous Forum, February 18-21,
1999 Dana Point, CA. Published November / December 1999 in Vascular Surgery.
CIRCAID SYSTEMS VS.
COMPRESSION STOCKINGS
Richard K. Spence, MD, Elizabeth Cahall,
RN, BSN, Department of Surgery, Cooper Hospital/University Medical Center,
Robert Wood Johnson Medical School in Camden, New Jersey. This study compared
the ability of 30-40 mmHg below-knee compression stockings to the CircAid
Garment (CircAid Products, San Diego, CA) to reduce and maintain limb
circumference and to improve abnormal venous hemodynamics in 10 patients (20
limbs) with Class III CVI, defined by history, air plethysmography (APG) chronic
stasis and/or ulceration. APG studies plus ankle/calf measurements were taken on
separate days with no compression (B), stockings (S) and CircAid. Tests were
performed at two and six hours after patients had donned new garments. Results
were analyzed using non-parametric measures because of sample size. Conclusions:
In this small group of patients, the CircAid garment was superior to
stockings in reducing and maintaining limb circumference and venous volume while
decreasing reflux and improving hemodynamics in Class III CVI patients.
Presented at the 8th Annual Meeting Of The American Venous Forum, February
22-24, 1996 San Diego, CA. Published
November 1996 in the Journal of Vascular Surgery.
NASA AMES RESEARCH CENTER
Alan R. Hargens, Ph.D., physiologist and
Space Station Project Scientist, in developing garments to combat the effects of
microgravity in space on astronauts, directed two studies. The results of one
study have been published in the Annals of Vascular Surgery, November 1994,
entitled, "Intramuscular Pressures Beneath Elastic and Inelastic
Leggings". The studies compared the effects of the non-elastic CircAid
Legging and 30-40mm elastic stockings on Intramuscular pressures (IMP) in soleus
and tibialis muscles taken by catheter inserted pressure transducers. IMPs which
are more relevant to tissue nutrition and venous return than surface or
subcutaneous pressures, taken on 10 healthy subjects, were significantly higher
with the non-elastic legging than with elastic stockings. During
recumbency, elastic stockings produced high surface compression. The non-elastic
legging did not exert such high surface compression, yet effectively generated
high IMPs during standing and walking.
WALTER REED ARMY MEDICAL CENTER
Conducted by J. Leonel Villavicencio MD, Director Vascular and Lymphatic
Surgery Clinic. The completed study comparing 24 extremities,
shows that at three months, patients wearing the non-elastic CircAid system had
a mean edema reduction of twice the control patients wearing a conventional four
layer elastic compression system. The ulcer-healing rate (cm2 per
week) was five times faster in the CircAid patients. Both parameters reached
statistical significance. Published December 2005 in the Journal
of Vascular Surgery.
THE NON-HEALING VENOUS STASIS ULCER
RK Spence, MD, AC Cernaianu, MD, WH
Hardesty, MD, AS Brown, MD, JB Alexander, MD, MJ Pello, MD, UA Atabek, MD, RC
Camishion, MD, Cooper Hospital, RWJ Medical School, Camden, New Jersey USA. The
clinical study results were presented at the 16th Annual World Congress of the
International Union of Angiology in Paris, September of 1992. This study
compared 13 patients with 15 chronic venous stasis ulcer limbs, which had failed
to respond to compression therapy with Unna’s Boot or elastic hose, primarily
because of poor compliance. The CircAid garment was used as the alternative
compression therapy. Within 12 months of wearing CircAid, in conjunction with
local wound care, 10 of the 15 ulcers had healed completely (67%), two were
grafted, and the remaining three showed evidence of progressive healing. Therefore,
overall improvement was seen in 13 of 15 ulcers (87%). None of the ulcers have
recurred up to 24 months later with continued use of the garment.
*Full Texts Are Available Upon Request
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