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Hemodilution in intermittent claudication – a case report
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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.
Title: Hemodilution in intermittent claudication – a case report
Description:
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.
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