Abstract • One hundred and two patients with peripheral vascular disease were evaluated by the attending surgeon, residents and students, and the vascular laboratory prior to arteriography to test their ability to make a correct anatomic diagnosis. The attending surgeons made a correct anatomic diagnosis in 98 patients and were at least partially correct in the other four. Surgical housestaff and students were 62% totally correct, 35% partially correct, and 3% totally wrong. The vascular laboratory results were almost identical with the attending surgeon, but two patients could not be evaluated because of calcified arteries. The operation that was eventually performed was suggested initially by the laboratory and the attending surgeon in 98% of the patients. (Arch Surg 113:1308-1310, 1978) References 1. Heintz SE, Bone GE, Slaymaker EE, et al: Value of arterial pressure measurements in the proximal and distal part of the thigh in arterial occlusive disease . Surg Gynecol Obstet 146:337-343, 1978. 2. Raines JK, Darling RC, Buth J, et al: Vascular laboratory criteria for the management of peripheral vascular disease of the lower extremities . Surgery 79:21-29, 1976. 3. Sumner DS, Strandness DE: Aorto-iliac reconstruction in patients with combined iliac and superficial femoral arterial occlusion. Presented at the Central Surgical Association, Chicago, March 4, 1978.
Archives of Surgery – American Medical Association
Published: Nov 1, 1978