Hemodilution in intermittent claudication – a case report

Article type: Research Article

Authors: Ernst, E.^a | Peter, S.^b | Matrai, A.^a | Kollar, L.^b

Affiliations: [a] Hemorheology Research Laboratory, Clinic for Physical Medicine, University of Munich, 8000 Munich 2, Ziemssenstr. 1, FRG | [b] Department of Vascular Surgery, University of Pecs, Hungary

Note: [] Accepted by: Editor G. Lowe

Abstract: A 54 year old man presented with typical claudication due to occluded superficial femoral arteries of both legs. On the right side there was a short occlusion without visible col laterals in the angiogram. On the left side there was a long occlusion with numerous narrow col laterals. Before hemodilution the walking distance was limited by ischemic pain in the left leg. After hemodilution walking distance increased but was then limited by pain in the right leg. It is concluded that the different hemodynamic situations respond differently to hemodilution. Possibly this form of treatment is effective only when average shear stresses are low in the flow limiting segment.

Keywords: peripheral vascular disease, hemodilution

DOI: 10.3233/CH-1988-8114

Journal: Clinical Hemorheology and Microcirculation, vol. 8, no. 1, pp. 89-92, 1988