Skip to main content
. 2023 Mar 26;82(1):2189552. doi: 10.1080/22423982.2023.2189552

Table 2.

Relevant treatment data extracted.

Included Study Rewarming method Time from injury or rewarming to iloprost Iloprost dose Iloprost duration Other medications used Wound care HBOT
Groechenig 1994 [21] - - 0.5 to 2 ng/kg/min continuous IV 14–42 days Cortisone
LMWH
- No
Hödl 2005 [38] - 1 to 9 days from injury 10 to 25 mcg IV daily 3 to 8 weeks ASA
Analgesic
Clindamycin
Dextran
Enoxaparin
Flucloxacillin
Neuroleptic
Octenisept solution
Aspiration of blisters
Bacitracin/neomycin powder
Strips between digits
Cotton bandage
Aquacel dressing
No
Roche-Nagle et al. 2008 [39] - - - - ASA
Antibiotics
Heparin
NSAIDs
- No
Imray et al. 2009 [40] - 5 days from rewarming - 5 days - - No
Cauchy et al. 2011 [41] Rapid < or >12 hours 0.5 to 2 ng/kg/min for 6  hours IV daily 8 days ASA
Alteplase
- No
Gorjanc et al. 2012 [42] Rapid <3 days from injury in majority 1 to 2 ng/kg/min for 6 hours IV daily 5 to 10 days ASA
Amox/clav
Dalteparin/enoxaparin
Pentoxifylline
- 10 to 30 days
Haik J et al. 2016 [43] - 1 day from rewarming 2 ng/kg/min for 6 hours IV daily 6 days ASA
Cephalexin
Enoxaparin
Ibuprofen
Debridement
Vaseline gauze
Gauze soaked in mafenid acetate
30 sessions
Cauchy et al. 2016 [44] Rapid - - - ASA
Alteplase (“tPA”; IV)
- No
Poole & Gauthier 2016 [45] Passive and rapid <24 to 48 hours from rewarming 0.5 to 2 ng/kg/min for 6 hours IV daily 5 days Fentanyl
Ibuprofen
Morphine
Hydrotherapy whirlpool daily
Aspiration of clear blister
Low-adherent dressings
Topical Aloe vera
No
Lindford et al. 2017 [46] Rapid 28 hours from injury in 1 case 0.5 to 2 ng/kg/min for 6 hours IV daily 2 to 3 days ASA
Alteplase (IA)
Cephalosporin
Enoxaparin
Opioid analgesia
Pantoprazole
Papaverine
Paracetamol
Regional nerve block
Simvastatin
UFH
Debridement of blisters
Polyurethane finger or
Silver-based foam dressings
No
Pandey et al. 2018 [47] Passive 32 to 72 hours from injury 2 to 10 mcg/hour for 6 hours IV daily (per patient weight; titrated up to 2 ng/kg/min) 5 days ASA
Ceftriaxone
Cephalexin
Draining of large blisters
Non adherent dressing
No
Gorjanc et al. 2018 [48] - - - - Amox/clav
Enoxaparin
Ibuprofen
Pantoprazole
Pentoxifylline
- Yes
Irarrazaval et al. 2018 [49] Rapid 75 hours from injury 2 ng/kg/min for 6 hours IV daily 4 days ASA
Cephalexin
Ibuprofen
Sildenafil
Daily dressing change 5 days
Jud et al. 2019 [50] - - 20 mcg IV daily 10 days ASA
Enoxaparin
Draining of lesions
Topical betamethasone
No
Lorenzo-Villalba et al. 2021 [51] Passive 8 days from injury n/a 5 days ASA
Bendamustine and
rituximab (for Cold Agglutinin Disease)
Evacuation of hematomas No
Poole et al. 2021 [52] Passive and rapid <1 to 55 hours from presentation 2 to 10 mcg/hour for 6 hours IV daily (per patient weight; titrated up to 2 ng/kg/min) 1 to 5 days Alteplase (IV)
Ibuprofen
UFH
Daily hydrotherapy
Debridement and aspiration of clear blisters Topical aloe vera
No
MacLennan et al. 2021 [53] - - 2 to 10 mcg/hour for 6 hours IV daily 5 days - - No
Magnan et al. 2021 [54] Rapid <6 to 72 hours (majority 12 to 48 hours) from injury 8 to 10 mcg/hour for 6 hours IV daily 7 days ASA
Amox/clav
Topical hyaluronic acid daily 14 sessions
Magnan et al. 2022 [55] Passive 70 hours from injury 10 mcg/hour for 6 hours IV daily 7 days ASA
Amox/clav
Heparin
Daily warm bath/betadine
Bandage with hyaluronic acid Early physiotherapy
30 sessions
Crooks et al. 2022 [56] - <12 to >72 hours (majority<12 hours) from injury to presentation 2 to 10 mcg/hour for 6 hours IV daily (maximum 50 mcg/day) 5 days ASA
Alteplase IV/IA (Grade 4)
Antibiotics
Ibuprofen
Nitroglycerin
UFH (Grade 4)
- No

“HBOT” = Hyperbaric Oxygen Therapy, “-” = information not available, “IV” = intravenous, “IA” = intra-arterial, “ASA” = Acetylsalicylic acid.

“Amox/clav” = Amoxicillin/clavulanic acid, “LMWH” = Low Molecular Weight Heparin”, “UFH” = Unfractionated heparin.