September 1960

Collateral Arterial Circulation in the Legs

Author Affiliations

From Department of Surgery of Columbia Hospital and Marquette University School of Medicine.; Associate Professor of Surgery, Marquette University School of Medicine (Dr. Conley). Resident in Surgery, Columbia Hospital (Dr. Kennedy).

Arch Surg. 1960;81(3):348-356. doi:10.1001/archsurg.1960.01300030008002

Introduction  Much of our knowledge of collateral circulation has been derived from anatomical studies which have been subjected to pathophysiological interpretation. Arteriography provides a dynamic method of investigating the in vivo collateral patterns in extremities. This report concerns such a study of collateral arterial circulation in the lower extremities as obtained from 100 full leg-length arteriograms9,10 augmented by serial arteriograms taken of the iliac and pelvic arteries visualized by contralateral femoral arterial injection of a radiopaque medium. Available for study were acute and chronic occlusive lesions at various sites in the leg due to arteriosclerosis, trauma, and arteriovenous fistulae.

General Considerations of Collateral Circulation  Nature has provided more ample alternate venous and lymphatic routes than she has arranged for arterial collaterals. However, the inherent ability of the arterial system to adjust to various types of arterial lesions and the application of sound principles of hemodynamics to the functioning of

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