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LIGATION OF THE FEMORAL VEIN FOR CHRONIC OCCLUSIVE ARTERIAL DISEASE: A REVIEW OF ONE HUNDRED AND EIGHTEEN LIGATIONS

LIGATION OF THE FEMORAL VEIN FOR CHRONIC OCCLUSIVE ARTERIAL DISEASE: A REVIEW OF ONE HUNDRED AND... Abstract In 1941 Lesser and I1 reviewed 20 cases in which ligation of the femoral vein was employed in the treatment of chronic occlusive arterial disease of the lower extremities. As suggested in our preliminary report, the encouraging results demanded further evaluation of this procedure. The present report includes 118 ligations of the femoral vein performed on 110 patients. The results are far from spectacular, but the value of this procedure as judged from our experience definitely places it in the armamentarium for the treatment of chronic occlusive arterial disease, along with the many fairly recent procedures that have appeared in the literature. When a chronic disease is confronted, great dependence is placed on palliative measures. Thus, one attempts to alleviate acute symptoms and also to prevent complications or further spread of the disease. Even when life expectancy is definitely short, palliation is attempted for humane reasons alone. These considerations References 1. Glasser, S. T., and Lesser, A.: Femoral Vein Ligation for Chronic Occlusive Arterial Disease , Am. J. Surg. 52:100, 1941.Crossref 2. Herrmann, L. G.: Passive Vascular Exercises and Conservative Management of Obliterative Arterial Diseases of the Extremities , Philadelphia, J. B. Lippincott Company, 1936, p. 142. 3. Achmatowicz, L.: Resection of Femoral Artery and Vein as Method of Treatment of Gangrene of Lower Extremities Caused by Endarteritis Obliterans , Polska gaz. lek. 13:424, 1934. 4. Allen, E. V.: Recent Advances in the Medical Treatment of Peripheral Vascular Diseases , J. A. M. A. 113:2375 ( (Dec. 30) ) 1939.Crossref 5. Brooks, B., and Johnson, G. S.: Simultaneous Vein Ligation: Experimental and Clinical Study of Therapeutic Venous Occlusion , Ann. Surg. 100:761, 1934.Crossref 6. Federoff, P. A.: Treatment of Spontaneous Gangrene by Oppel-Petroff's Method: Binding Femoral Vein , Vestnik khir. 16:177, 1929. 7. Fraser, N. D.: The Conservative Treatment of Thromboangiitis Obliterans: A Report of the Results of Ligation of the Femoral Vein in Six Cases , China M. J. 45:519, 1931. 8. Pemberton, J. de J., and McCaughan, J. M.: Traumatic Lesions of Arteries: Indications for Therapeutic Ligations of Veins , Ann. Surg. 96:1103, 1932.Crossref 9. Macleod, J. J. R.: Physiology in Modern Medicine , St. Louis, C. V. Mosby Company, 1938, p. 376-377. 10. Brooks, B.: Surgical Applications of Therapeutic Venous Obstruction , Arch. Surg. 19:1 ( (July) ) 1929.Crossref 11. Oppel, A.: Ueber die gestaltliche Anpassung der Blutgefässe unter Berücksichtigung der funktionellen Transplantation , Leipzig, H. Engelmann, 1910. 12. Makins, G. H.: On Gunshot Injuries to the Blood Vessels , Founded on Experience Gained in France During the Great War, Bristol, J. Wright & Sons, 1919, p. 251. 13. Brooks, B., and Martin, K. A.: Simultaneous Ligation of Vein and Artery: An Experimental Study , J. A. M. A. 80:1678 ( (June 9) ) 1923.Crossref 14. Holman, E.: Surgery of Large Arteries with Report of Ligation of Innominate Artery, for Varicose Aneurism of Subclavian Vessels , Ann. Surg. 85:173, 1927.Crossref 15. Pearse, H. E., Jr.: A New Explanation of Improved Results Following Ligation of Both Artery and Vein , Ann. Surg. 86:850, 1927.Crossref 16. Theis, F. V.: Ligation of Artery and Concomitant Vein in Operations on Large Blood Vessels , Arch. Surg. 17:244 ( (Aug.) ) 1928.Crossref 17. Van Gorder, G. W.: High Vein Ligation in Thromboangiitis Obliterans: Report of Nine Cases , Ann. Surg. 90:88, 1929.Crossref 18. Brooke, R.: Peri-Arterial Sympathectomy with Ligature of the Femoral Vein in Treatment of Diabetic Gangrene , Brit. J. Surg. 15:286, 1927.Crossref 19. Spurrell, W. R.: Experimental Study of Circulatory Changes Following Ligation of Main Artery and Vein to Hind Limb , Guy's Hosp. Rep. 80:20, 1930. 20. Lewis, T., and Grant, R.: Reactive Hyperaemia in Man , Heart 12:73, 1925. 21. Collens, W. S., and Wilensky, N. D.: The Use of Intermittent Venous Compression in the Treatment of Peripheral Vascular Disease , Am. Heart J. 11:705, 1936.Crossref 22. Homans, J.: Circulatory Diseases of the Extremities , New York, The Macmillan Company, 1939, pp. 12-15. 23. Leriche, R., and Fontaine, R.: Mechanism of Action of Venous Ligation in Arterial Obliteration , Lyon chir. 27:602, 1930. 24. Pearse, H. E., Jr.: Use of Vein Ligation in Treatment of Arteriosclerotic and Diabetic Gangrene , J. A. M. A. 98:866 ( (March 12) ) 1932.Crossref 25. McWhorter, G. L.: Ligation of Both Femoral Artery and Vein in Thromboangiitis Obliterans , S. Clin. North America 10:283, 1930. 26. Silbert, S.: Value of Femoral Vein Ligation in Chronic Arterial Obstruction, in Contributions to the Medical Sciences in Honor of Dr. Emanuel Libman , New York, International Press, 1932, vol. 3, p. 1079. 27. Wilson, W. C.: Occlusion of Main Artery and Main Vein of a Limb , Brit. J. Surg. 20:393, 1933.Crossref 28. Brooks, B.; Johnson, G. S., and Kirtley, J. A., Jr.: Simultaneous Ligation: Experimental Study of Effect of Ligation of Concomitant Vein on Incidence of Gangrene Following Arterial Obstruction , Surg., Gynec. & Obst. 59:496, 1934. 29. Homans, J.: Exploration and Division of the Femoral and Iliac Veins in the Treatment of Thrombophlebitis of the Leg , New England J. Med. 224:179, 1941. 30. Allen, A. W.; Linton, R. R., and Donaldson, G. A.: Thrombosis and Embolism: Review of Two Hundred and Two Patients Treated by Femoral Vein Interruption , Ann. Surg. 118:728, 1943. 31. Veal, J. R.: The Prevention of Pulmonary Complications Following Thigh Amputation by High Ligation of Femoral Vein , J. A. M. A. 121:240 ( (Jan. 23) ) 1943 32. High Ligation of the Femoral Vein in Amputations of Lower Extremities , Veal J. A. M. A. 114:1616 ( (April 27) ) 1940. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

LIGATION OF THE FEMORAL VEIN FOR CHRONIC OCCLUSIVE ARTERIAL DISEASE: A REVIEW OF ONE HUNDRED AND EIGHTEEN LIGATIONS

GLASSER, S. THOMAS
Archives of Surgery , Volume 50 (1) – Jan 1, 1945
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References (36)

Publisher
American Medical Association
Copyright
Copyright © 1945 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1945.01230030059007
Publisher site
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Abstract

Abstract In 1941 Lesser and I1 reviewed 20 cases in which ligation of the femoral vein was employed in the treatment of chronic occlusive arterial disease of the lower extremities. As suggested in our preliminary report, the encouraging results demanded further evaluation of this procedure. The present report includes 118 ligations of the femoral vein performed on 110 patients. The results are far from spectacular, but the value of this procedure as judged from our experience definitely places it in the armamentarium for the treatment of chronic occlusive arterial disease, along with the many fairly recent procedures that have appeared in the literature. When a chronic disease is confronted, great dependence is placed on palliative measures. Thus, one attempts to alleviate acute symptoms and also to prevent complications or further spread of the disease. Even when life expectancy is definitely short, palliation is attempted for humane reasons alone. These considerations References 1. Glasser, S. T., and Lesser, A.: Femoral Vein Ligation for Chronic Occlusive Arterial Disease , Am. J. Surg. 52:100, 1941.Crossref 2. Herrmann, L. G.: Passive Vascular Exercises and Conservative Management of Obliterative Arterial Diseases of the Extremities , Philadelphia, J. B. Lippincott Company, 1936, p. 142. 3. Achmatowicz, L.: Resection of Femoral Artery and Vein as Method of Treatment of Gangrene of Lower Extremities Caused by Endarteritis Obliterans , Polska gaz. lek. 13:424, 1934. 4. Allen, E. V.: Recent Advances in the Medical Treatment of Peripheral Vascular Diseases , J. A. M. A. 113:2375 ( (Dec. 30) ) 1939.Crossref 5. Brooks, B., and Johnson, G. S.: Simultaneous Vein Ligation: Experimental and Clinical Study of Therapeutic Venous Occlusion , Ann. Surg. 100:761, 1934.Crossref 6. Federoff, P. A.: Treatment of Spontaneous Gangrene by Oppel-Petroff's Method: Binding Femoral Vein , Vestnik khir. 16:177, 1929. 7. Fraser, N. D.: The Conservative Treatment of Thromboangiitis Obliterans: A Report of the Results of Ligation of the Femoral Vein in Six Cases , China M. J. 45:519, 1931. 8. Pemberton, J. de J., and McCaughan, J. M.: Traumatic Lesions of Arteries: Indications for Therapeutic Ligations of Veins , Ann. Surg. 96:1103, 1932.Crossref 9. Macleod, J. J. R.: Physiology in Modern Medicine , St. Louis, C. V. Mosby Company, 1938, p. 376-377. 10. Brooks, B.: Surgical Applications of Therapeutic Venous Obstruction , Arch. Surg. 19:1 ( (July) ) 1929.Crossref 11. Oppel, A.: Ueber die gestaltliche Anpassung der Blutgefässe unter Berücksichtigung der funktionellen Transplantation , Leipzig, H. Engelmann, 1910. 12. Makins, G. H.: On Gunshot Injuries to the Blood Vessels , Founded on Experience Gained in France During the Great War, Bristol, J. Wright & Sons, 1919, p. 251. 13. Brooks, B., and Martin, K. A.: Simultaneous Ligation of Vein and Artery: An Experimental Study , J. A. M. A. 80:1678 ( (June 9) ) 1923.Crossref 14. Holman, E.: Surgery of Large Arteries with Report of Ligation of Innominate Artery, for Varicose Aneurism of Subclavian Vessels , Ann. Surg. 85:173, 1927.Crossref 15. Pearse, H. E., Jr.: A New Explanation of Improved Results Following Ligation of Both Artery and Vein , Ann. Surg. 86:850, 1927.Crossref 16. Theis, F. V.: Ligation of Artery and Concomitant Vein in Operations on Large Blood Vessels , Arch. Surg. 17:244 ( (Aug.) ) 1928.Crossref 17. Van Gorder, G. W.: High Vein Ligation in Thromboangiitis Obliterans: Report of Nine Cases , Ann. Surg. 90:88, 1929.Crossref 18. Brooke, R.: Peri-Arterial Sympathectomy with Ligature of the Femoral Vein in Treatment of Diabetic Gangrene , Brit. J. Surg. 15:286, 1927.Crossref 19. Spurrell, W. R.: Experimental Study of Circulatory Changes Following Ligation of Main Artery and Vein to Hind Limb , Guy's Hosp. Rep. 80:20, 1930. 20. Lewis, T., and Grant, R.: Reactive Hyperaemia in Man , Heart 12:73, 1925. 21. Collens, W. S., and Wilensky, N. D.: The Use of Intermittent Venous Compression in the Treatment of Peripheral Vascular Disease , Am. Heart J. 11:705, 1936.Crossref 22. Homans, J.: Circulatory Diseases of the Extremities , New York, The Macmillan Company, 1939, pp. 12-15. 23. Leriche, R., and Fontaine, R.: Mechanism of Action of Venous Ligation in Arterial Obliteration , Lyon chir. 27:602, 1930. 24. Pearse, H. E., Jr.: Use of Vein Ligation in Treatment of Arteriosclerotic and Diabetic Gangrene , J. A. M. A. 98:866 ( (March 12) ) 1932.Crossref 25. McWhorter, G. L.: Ligation of Both Femoral Artery and Vein in Thromboangiitis Obliterans , S. Clin. North America 10:283, 1930. 26. Silbert, S.: Value of Femoral Vein Ligation in Chronic Arterial Obstruction, in Contributions to the Medical Sciences in Honor of Dr. Emanuel Libman , New York, International Press, 1932, vol. 3, p. 1079. 27. Wilson, W. C.: Occlusion of Main Artery and Main Vein of a Limb , Brit. J. Surg. 20:393, 1933.Crossref 28. Brooks, B.; Johnson, G. S., and Kirtley, J. A., Jr.: Simultaneous Ligation: Experimental Study of Effect of Ligation of Concomitant Vein on Incidence of Gangrene Following Arterial Obstruction , Surg., Gynec. & Obst. 59:496, 1934. 29. Homans, J.: Exploration and Division of the Femoral and Iliac Veins in the Treatment of Thrombophlebitis of the Leg , New England J. Med. 224:179, 1941. 30. Allen, A. W.; Linton, R. R., and Donaldson, G. A.: Thrombosis and Embolism: Review of Two Hundred and Two Patients Treated by Femoral Vein Interruption , Ann. Surg. 118:728, 1943. 31. Veal, J. R.: The Prevention of Pulmonary Complications Following Thigh Amputation by High Ligation of Femoral Vein , J. A. M. A. 121:240 ( (Jan. 23) ) 1943 32. High Ligation of the Femoral Vein in Amputations of Lower Extremities , Veal J. A. M. A. 114:1616 ( (April 27) ) 1940.

Journal

Archives of Surgery – American Medical Association

Published: Jan 1, 1945

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