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Quick Description of the Procedure
The patient relaxes on a comfortably padded mattress while a trained nurse or therapist wraps the muscular areas of the patient’s calves, thighs and buttocks with pneumatic cuffs, similar to blood pressure cuffs. Hoses connect the cuffs to an air pressure/vacuum pump enclosed within the bed base. Next to the bed is the computer-controlled operator’s console. Three ECG electrodes are placed on the patient’s chest so the computer can monitor his or her heart rate. A sensor is placed on the patient’s finger to detect each pulse wave.
The patient will not feel any pain during the procedure. He or she will feel the sensation of a strong “hug” moving upward from the calves to the thighs to the buttocks. Each cycle is electronically synchronized with individual heartbeats.
While the patient relaxes and talks to visitors, watches TV or a video, listens to music, or even takes a nap, the operator starts the procedure and adjusts the machine during the hour-long procedure.
ECP does not have the adverse effects associated with invasive procedures. Occasionally, some patients do experience some side effects, such as skin irritation (due to compression of cuffs), muscle aches, and headache. However, these side effects are minimal and usually lessen as treatment goes on. Nevertheless, prior to ECP, patients should have a full evaluation by a cardiologist. As with any intervention for heart disease, careful patient selection and close monitoring are recommended. (See Clinical Considerations).
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