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October 21, 1950

Thrombosis in Arteriosclerosis of the Lower Extremities

JAMA. 1950;144(8):722. doi:10.1001/jama.1950.02920080124037

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This 70 page lecture represents a brief description of the diagnosis, management and treatment of thrombosis of the lower extremities. It includes the etiology, the pathology, the clinical picture and the treatment, as well as various case reports. There are some excellent photomicrographs as well as numerous diagrams explaining the mechanism of gangrene due to thrombosis of the various arteries of the lower extremities. The descriptive aspect of the book, dealing with the diagnosis and clinical picture, is excellent.

It is the author's opinion that lumbar sympathectomy is the most significant single item of treatment available today. This view is not held by all workers in this field. There is little discussion of embolectomy. There is a discussion of anticoagulant therapy and its use as indicated in the treatment of arterial occlusion. While Buerger's exercises are commendable, the use of the oscillating bed, which makes it possible for the same

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