Peripheral vascular disease

[jirwin]

I have a patient with history of severe traumatic injury to the left leg with skin grafting to the anterior pretibial region involving an area approx. 5 in. x 5 in. The graft is slowly failing and I believe it is secondary to ischemia. There is not much tissue between the graft and bone. He did well for about 10 years following the initial graft which subsequently began to break down so he underwent repeat grafting with not much improvement. I am wondering if we could generate some improved blood supply to the graft area with ECP.
John Irwin