Case Series
 
The use of a novel neuromuscular electrical stimulation device in peripheral vascular disease
Katherine J. Williams1, Alun H. Davies1
1Section of Surgery, Imperial College London, UK.

doi:10.5348/ijcri-201462-CS-10048

Address correspondence to:
Katherine J Williams
Charing Cross Hospital (4th Floor, East Wing)
Fulham Palace Road
London W6 8RF
UK
Email: k.williams@imperial.ac.uk

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How to cite this article
Williams KJ, Davies AH. The use of a novel neuromuscular electrical stimulation device in peripheral vascular disease. Int J Case Rep Images 2014;5(11):744–747.


Abstract
Introduction: Enhancement of peripheral circulation using electrical devices has demonstrated benefit in many vascular disorders.
Case Report: Herein, we present a case series of three complex patients illustrating the successful use of a new single-use disposable neuromuscular electrical stimulation (NMES) device (gekoTM, Firstkind Ltd, UK). Cases include the management of recalcitrant ulcers, non-reconstructable critical limb ischemia, and an infected arterial bypass graft.
Conclusion: Neuromuscular electrical stimulation (NMES) can potentially enhance peripheral circulation in vascular patients. Difficult or recalcitrant vascular cases may benefit from it as an adjunct to best medical care. NMES has few side effects, and may be especially useful where polypharmacy is an issue. The incidence of a skin reaction may necessitate device discontinuation.

Keywords: Neuromuscular electrical stimulation, NMES, EMS, Vascular disease


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Author Contributions:
Katherine J. Williams – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Alun H. Davies – Conception and design, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Katherine J. Williams et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Katherine J. Williams is Clinical Research Fellow at Charing Cross Hospital, Section of Surgery, Imperial College London. She earned undergraduate degree Medicine (MBBS) from University of London and postgraduate degree Medical Sciences (MA) from University of Cambridge. Email: k.williams@imperial.ac.uk



Alun H. Davies is Professor of Vascular Surgery at Imperial College London. His research interests include management of chronic venous disease, endovascular surgery, and metabolic profiling of vascular pathology. Email: a.h.davies@imperial.ac.uk