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To the Editor.—
I refer to Dr. Whelan's editorial (230:91, 1974) and Dr. Vetto's remarks (230:92, 1974) on the article by Dotter et al (230:117, 1974).Some of the questions raised by Dr. Whelan (eg, patient selection or contraindications) have been answered in the literature.During my sabbatical, I visited with the radiologist Dr. Zeitler in West Germany and saw a good number of short- and long-term excellent roentgenological as well as clinical results with "Dottering" of the superficial femoral arteries. The present article is a logical sequence of Dr. Dotter's previous promising work.To plan for long-term management, a physician often has to weigh the risks of reconstructive surgery (which aims at increasing blood supply) against those of trying to minimize tissue demands for blood, such as by assuring good foot care and preventing injury or infection.A growing number of medical and surgical angiologists seem to agree on limiting
Lippman HI. Transluminal Iliac Artery Dilatation. JAMA. 1975;231(3):245. doi:10.1001/jama.1975.03240150009003