Compression therapy is an important treatment for venous ulcers. For successful treatment, maintaining proper pressure and adherence to the therapy are important. In our home care clinic, treatments, such as compression therapy using an elastic bandage, ointment treatment, and debridement, are performed at home for patients with venous ulcer. Compression therapy at home is considered to be beneficial in terms of patient adherence; however, the clinical outcomes and safety remain to be elucidated. We investigated the clinical outcomes of compression therapy at home for patients with venous ulcer. Patient background, clinical condition, and type of treatment were analyzed in 64 legs of 51 patients treated between May 2019 and December 2021 at four TOWN Home Care Clinics. We found that adherence to compression therapy was 96%, and the ulcer healing rate was 71%. Our findings suggest that compression therapy for venous ulcer in the home care setting is beneficial, but complications must be carefully monitored. It is possible to achieve high adherence by providing patient education and treatments tailored to patient’s lifestyle in cooperation with family members and medical professionals.

　Revascularization with surgical or endovascular treatment (EVT) is an essential process for the treatment of foot ulcers and gangrene in patients with comprehensive severe chronic lower limb ischemia (CLTI). Previous studies reported that pedal artery angioplasty (PAA) is effective for wound healing; however, there are cases in which wound healing still cannot be obtained.
　We investigated the relationship between toe blood flow patterns during PAA using laser-doppler flowmetry and foot prognosis.
　Between March 2018 and June 2021, we analyzed 21 limbs (18 cases) with pedal artery angioplasty retrospectively.
　Foot prognosis was compared between improved and non-improved groups at an average of 20.4 months (± 11.8 months) .
　The rate of improved cases was 66.6% (14 of 21 sessions) . Wound healing rates in the improved and non-improved groups were 78.6% and 42.9% (p = 0.10) , unexpected additional amputations were 7.1% and 28.6% (p = 0.19) , and major amputations were 14.3% and 42.9% (p = 0.14), respectively. All-cause mortality was significantly higher in the non-improved group (14.3% vs. 71.4%, p = 0.017). Toe blood flow evaluation during PAA may be useful in predicting the foot prognosis of CLTI patients.