Introduction: Enhancement of peripheral\ncirculation using electrical devices has\ndemonstrated benefit in many vascular\ndisorders.\nCase Series: Herein, we present a case series\nof three complex patients illustrating the\nsuccessful use of a new single-use disposable\nneuromuscular electrical stimulation (NMES)\ndevice (gekoTM, Firstkind Ltd, UK). Cases include\nthe management of recalcitrant ulcers, nonreconstructable\ncritical limb ischemia, and an\ninfected arterial bypass graft.\nConclusion: Neuromuscular electrical\nstimulation (NMES) can potentially enhance\nperipheral circulation in vascular patients.\nDifficult or recalcitrant vascular cases may\nbenefit from it as an adjunct to best medical\ncare. NMES has few side effects, and may be\nespecially useful where polypharmacy is an\nissue. The incidence of a skin reaction may\nnecessitate device discontinuation.
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