Follow-up Studies of Iliofemoral Arterial Reconstruction in Arteriosclerosis Obliterans

II. Surgical Therapy of Occlusive Peripheral Atherosclerosis

“…Surgical treatment, if successful, can be said to prevent ischemic complications only infrequently, because of their low incidence, even in untreated patients. 4. Surgical treatment cannot be advocated to prevent proximal occlusion involving the renal arteries and resulting in uremia, because the absence of this complication in the patients included in the study indicates that the condition occurs very rarely.…”

The Surgical Treatment of Occlusive Peripheral Arterial Disease

“…For instance, Kekwick33 in studying a group of patients with the symptoms of intermittent claudication noted that fully 34.6 per cent had angina pectoris, the same percentage had hypertension, 19.0 per cent had evidence of cardiac infarction and 11.5 per cent had experienced cerebrovascular accidents. A severe cardiac patient with intermittent claudication will not increase his activities because of an improved circulation in the extremities.…”

“…The longer the transplant, the greater the risk. 19 The smaller the vessel, the greater the risk. To find a healthy segment of vessel to use is often difficult.…”

Recent Advances in Arterial Surgery

“…Crawford and others (1955) report 86 per cent success in cases followed from 6 to 24 months and Luke (1956) records 13 successes out of 14 cases, having previously had only 50 per cent of successes with end‐to‐end grafting. Hoye and Warren (1956) on the other hand report a 100 per cent occlusion of their 5 by‐pass grafts within a year. It remains to be seen whether long‐term follow‐up will show this operation to have better results than end‐to‐end grafting.…”