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Radical Open Femoral-Popliteal Endarterectomy with Vein Onlay Graft

Radical Open Femoral-Popliteal Endarterectomy with Vein Onlay Graft Abstract During the past decade considerable progress has been made in the surgical management of arteriosclerosis obliterans of the lower extremity. However, while the results of operative treatment of the aortoiliac segment have been encouraging, the degree of success in the femoral-popliteal region has been discouraging. The small caliber of the vessels, as well as the reduced rate of arterial inflow and outflow, are probably the principal reasons for failure. Nevertheless, the search continues for more satisfactory methods of dealing with this area of arterial insufficiency. The present study has been stimulated by the recognition of such needs, and our results to date appear sufficiently encouraging to justify this preliminary report. The first thromboendarterectomy was performed by dos Santos in 1946.1 Sporadic reports of successful thromboendarterectomy appeared during the next 5 years; however, these were limited primarily to the larger vessels of the aortoiliac region. In 1952 Wylie2 reported References 1. dos Santos, J. C.: Sur la Désobstruction des thromboses artérielles anciennes , Mem. Acad. Chir. 73:409-411, 1947. 2. Wylie, E. J.: Thromboendarterectomy for Arteriosclerotic Thrombosis of Major Arteries , Surgery 32:275-292, 1952. 3. Cannon, J. A., and Barker, W. F.: Successful Management of Obstructive Femoral Arteriosclerosis by Endarterectomy , Surgery 38:48-60, 1955. 4. Oudot, J.: Greffe de la bifurcation aortique depuis les artères rénales jusqu arx artères eliaques externes pour thrombose artéritique , Mem. Acad. Chir. 77:642-644, 1951. 5. Rob, C. G., and Eastcott, H. H. G.: Arterial Grafting, Brit. Surg. Progress, supplement to Brit. Surg. Practice, London, 1953 Butterworth & Co., Ltd., P. 1. 6. DeBakey, M. E.; Creech, O., Jr., and Cooley, D. A.: Occlusive Disease of the Aorta and Its Treatment by Resection and Homograft Replacement , Ann. Surg. 140:290-310, 1954.Crossref 7. Szilagyi, D. E.; Overhulse, P. R., and LoGrippo, G. A.: Use of Chemically Sterilized Arterial Homografts , Clin. Res. Proc. 2:108, 1954. 8. Linton, R. R.: Some Practical Considerations in the Surgery of Blood Vessel Grafts , Surgery 38: 817-834, 1955. 9. Linton, R. R., and Menendez, C. V.: Arterial Homografts: A Comparison of the Results with End-to-End and End-to-Side Vascular Anastomoses , Ann. Surg. 142:568-585, 1955.Crossref 10. Creech, O.; Deterling, R. A.; Edwards, S.; Julian, O. C.; Linton, R. R., and Shumacker, H.: Vascular Prostheses, Report of the Committee for the Study of Vascular Prostheses of The Society for Vascular Surgery , Surgery 41:62-80, 1957. 11. Edwards, W. S.: Composite Reconstruction of the Femoral Artery with Saphenous Vein After Endarterectomy , Surg. Gynec. Obstet. 111:651, 1960. 12. Cranley, J. J.: Clinical Grading of the Severity of Obliterative Arterial Disease of the Lower Extremities , Surgery 38:928-935, 1955. 13. Cranley, J. J.; Krause, R. J., and Strasser, E. S.: Limb Survival With and Without Definitive Surgical Treatment in Obliterative Arterial Disease , Surgery 45:32-40, 1959. 14. Schadt, D. C.; Hines, E. A., Jr.; Juergens, J. I., and Barker, N. W.: Chronic Atherosclerotic Occlusion of the Femoral Artery , J.A.M.A. 175: 937-940, 1961.Crossref 15. Edwards, W. S.: Composite Reconstruction of Small Leg Arteries After Endarterectomy , Surgery 51:58-61, 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Radical Open Femoral-Popliteal Endarterectomy with Vein Onlay Graft

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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1962.01310050032007
Publisher site
See Article on Publisher Site

Abstract

Abstract During the past decade considerable progress has been made in the surgical management of arteriosclerosis obliterans of the lower extremity. However, while the results of operative treatment of the aortoiliac segment have been encouraging, the degree of success in the femoral-popliteal region has been discouraging. The small caliber of the vessels, as well as the reduced rate of arterial inflow and outflow, are probably the principal reasons for failure. Nevertheless, the search continues for more satisfactory methods of dealing with this area of arterial insufficiency. The present study has been stimulated by the recognition of such needs, and our results to date appear sufficiently encouraging to justify this preliminary report. The first thromboendarterectomy was performed by dos Santos in 1946.1 Sporadic reports of successful thromboendarterectomy appeared during the next 5 years; however, these were limited primarily to the larger vessels of the aortoiliac region. In 1952 Wylie2 reported References 1. dos Santos, J. C.: Sur la Désobstruction des thromboses artérielles anciennes , Mem. Acad. Chir. 73:409-411, 1947. 2. Wylie, E. J.: Thromboendarterectomy for Arteriosclerotic Thrombosis of Major Arteries , Surgery 32:275-292, 1952. 3. Cannon, J. A., and Barker, W. F.: Successful Management of Obstructive Femoral Arteriosclerosis by Endarterectomy , Surgery 38:48-60, 1955. 4. Oudot, J.: Greffe de la bifurcation aortique depuis les artères rénales jusqu arx artères eliaques externes pour thrombose artéritique , Mem. Acad. Chir. 77:642-644, 1951. 5. Rob, C. G., and Eastcott, H. H. G.: Arterial Grafting, Brit. Surg. Progress, supplement to Brit. Surg. Practice, London, 1953 Butterworth & Co., Ltd., P. 1. 6. DeBakey, M. E.; Creech, O., Jr., and Cooley, D. A.: Occlusive Disease of the Aorta and Its Treatment by Resection and Homograft Replacement , Ann. Surg. 140:290-310, 1954.Crossref 7. Szilagyi, D. E.; Overhulse, P. R., and LoGrippo, G. A.: Use of Chemically Sterilized Arterial Homografts , Clin. Res. Proc. 2:108, 1954. 8. Linton, R. R.: Some Practical Considerations in the Surgery of Blood Vessel Grafts , Surgery 38: 817-834, 1955. 9. Linton, R. R., and Menendez, C. V.: Arterial Homografts: A Comparison of the Results with End-to-End and End-to-Side Vascular Anastomoses , Ann. Surg. 142:568-585, 1955.Crossref 10. Creech, O.; Deterling, R. A.; Edwards, S.; Julian, O. C.; Linton, R. R., and Shumacker, H.: Vascular Prostheses, Report of the Committee for the Study of Vascular Prostheses of The Society for Vascular Surgery , Surgery 41:62-80, 1957. 11. Edwards, W. S.: Composite Reconstruction of the Femoral Artery with Saphenous Vein After Endarterectomy , Surg. Gynec. Obstet. 111:651, 1960. 12. Cranley, J. J.: Clinical Grading of the Severity of Obliterative Arterial Disease of the Lower Extremities , Surgery 38:928-935, 1955. 13. Cranley, J. J.; Krause, R. J., and Strasser, E. S.: Limb Survival With and Without Definitive Surgical Treatment in Obliterative Arterial Disease , Surgery 45:32-40, 1959. 14. Schadt, D. C.; Hines, E. A., Jr.; Juergens, J. I., and Barker, N. W.: Chronic Atherosclerotic Occlusion of the Femoral Artery , J.A.M.A. 175: 937-940, 1961.Crossref 15. Edwards, W. S.: Composite Reconstruction of Small Leg Arteries After Endarterectomy , Surgery 51:58-61, 1962.

Journal

Archives of Surgery – American Medical Association

Published: Nov 1, 1962

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