Extracorporeal Blood Oxygenation and Ozonation (EBOO): A Controlled Trial in Patients with Peripheral Artery Disease

Author:

Di Paolo N.1,Bocci V.2,Salvo D.P.1,Palasciano F.3,Biagioli M.4,Meini S.5,Galli F.6,Ciari I.7,Maccari F.8,Cappelletti F.1,Di Paolo M.9,Gaggiotti E.1

Affiliation:

1. Nephrology and Dialysis Department, University Hospital of Siena, Siena - Italy

2. Institute of General Physiology, University of Siena, Siena - Italy

3. Surgical Department, Vascular Surgery Section, University of Siena, Siena - Italy

4. Department of Internal Medicine, Dermatology Section, University of Perugia, Perugia - Italy

5. Department of Internal Medicine and Immunological Science, University of Perugia, Perugia - Italy

6. Department of Internal Medicine, Section of Applied Biochemistry and Nutritional Sciences, University of Perugia, Perugia - Italy

7. Department of Internal Medicine, Section of Biochemistry, University of Siena, Siena - Italy

8. Department of Quantitative Methods, University of Siena, Siena - Italy

9. Institute of Legal Medicine, University of Pisa, Pisa - Italy

Abstract

Background Since 1990 our group has been using extracorporeal circulation to ozonate blood by an original method, known as extracorporeal blood oxygenation and ozonation (EBOO), with the aim of amplifying the results observed with ozone autohemotherapy. Objective To verify the hypothesis that EBOO improves the skin lesions typical of peripheral artery disease (PAD) patients. Methods Twenty-eight patients with PAD were randomized to receive EBOO or intravenous prostacyclin in a controlled clinical trial. The primary efficacy parameters were regression of skin lesions and pain, and improvement in quality of life and vascularisation. Results Patients treated with EBOO showed highly significant regression of skin lesions with respect to patients treated with prostacyclin. Other parameters that were significantly different in the two groups of patients were pain, pruritus, heavy legs and well-being. No significant differences in vascularisation of the lower limbs before and after treatment were found in either group. No side effects or complications were recorded during the 210 EBOO treatments. Conclusion EBOO was much more effective than prostacyclin for treating skin lesions in PAD patients and also had a positive effect on patient general condition without any apparent change in arterial circulation. This suggests other mechanisms of action of EBOO.

Publisher

SAGE Publications

Subject

Biomedical Engineering,Biomaterials,General Medicine,Medicine (miscellaneous),Bioengineering

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