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Operative Therapy for Aortoiliac Arterial Occlusive Disease: A Comparison of Therapeutic Methods

Operative Therapy for Aortoiliac Arterial Occlusive Disease: A Comparison of Therapeutic Methods Abstract THROMBOENDARTERECTOMY and synthetic arterial substitution are the two methods of operative therapy currently used for aortoiliac arterial occlusive disease. This study was undertaken to assess the relative effectiveness of these methods of treatment among patients operated on for symptoms of aorto-iliac occlusive disease in the same institution. Material and Methods Two hundred and six patients underwent 216 operations for aorto-iliac arterial occlusive disease in the Barnes Hospital from January 1957 through December 1965. Synthetic arterial substitution was employed in 57 of the operative procedures and thromboendarterectomy in 159. The operations were performed by both the attending and resident staffs. No rigid criteria were used to determine the operative procedure used on a particular patient. The choice was dependent for the most part upon the experience and preference of the surgeon. The endarterectomies were performed at a uniform annual frequency throughout the entire period of study. Synthetic grafts were first used References 1. Butcher, H.R., Jr.: A Simple Technique for Endarterectomy , Surgery 44:984-989 ( (Dec) ) 1958. 2. Stokes, J.M., and Butcher, H.R., Jr.: Comparison of Thromboendarterectomy and Arterial Substitution as Therapy for Arterial Occlusive Disease Using the Life Table Method of Reporting Results , Surgery 48:554-563 ( (Sept) ) 1960. 3. Cutler, S.J., and Ederer, F.: Maximum Utilization of the Life Table Method in Analyzing Survival , J Chron Dis 8:699-712 ( (Dec) ) 1958.Crossref 4. Stokes, J.M.; Sugg, W.L.; and Butcher, H.R., Jr.: Standard Method of Assessing Relative Effectiveness of Therapies for Arterial Occlusive Disease , Ann Surg 157:343-350 ( (March) ) 1963.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Operative Therapy for Aortoiliac Arterial Occlusive Disease: A Comparison of Therapeutic Methods

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1968.01330220144023
Publisher site
See Article on Publisher Site

Abstract

Abstract THROMBOENDARTERECTOMY and synthetic arterial substitution are the two methods of operative therapy currently used for aortoiliac arterial occlusive disease. This study was undertaken to assess the relative effectiveness of these methods of treatment among patients operated on for symptoms of aorto-iliac occlusive disease in the same institution. Material and Methods Two hundred and six patients underwent 216 operations for aorto-iliac arterial occlusive disease in the Barnes Hospital from January 1957 through December 1965. Synthetic arterial substitution was employed in 57 of the operative procedures and thromboendarterectomy in 159. The operations were performed by both the attending and resident staffs. No rigid criteria were used to determine the operative procedure used on a particular patient. The choice was dependent for the most part upon the experience and preference of the surgeon. The endarterectomies were performed at a uniform annual frequency throughout the entire period of study. Synthetic grafts were first used References 1. Butcher, H.R., Jr.: A Simple Technique for Endarterectomy , Surgery 44:984-989 ( (Dec) ) 1958. 2. Stokes, J.M., and Butcher, H.R., Jr.: Comparison of Thromboendarterectomy and Arterial Substitution as Therapy for Arterial Occlusive Disease Using the Life Table Method of Reporting Results , Surgery 48:554-563 ( (Sept) ) 1960. 3. Cutler, S.J., and Ederer, F.: Maximum Utilization of the Life Table Method in Analyzing Survival , J Chron Dis 8:699-712 ( (Dec) ) 1958.Crossref 4. Stokes, J.M.; Sugg, W.L.; and Butcher, H.R., Jr.: Standard Method of Assessing Relative Effectiveness of Therapies for Arterial Occlusive Disease , Ann Surg 157:343-350 ( (March) ) 1963.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1968

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