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April 30, 1960

Autoogenous Vein Grafts and Related Aspects of Peripheral Arterial Disease

JAMA. 1960;172(18):2129. doi:10.1001/jama.1960.03020180139042

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This monograph consists of a review of the diagnosis and treatment of segmental occlusions of the iliac and femoral arteries, with emphasis on the latter. Techniques of arteriographic examination, surgical procedures, and attendant complications are discussed. Primary emphasis is placed on an extensive laboratory and limited clinical experience with and the use of autologous vein grafts to replace or bypass segments of small vessels. It is concluded that aneurysmal dilatations of autologous vein grafts are relatively rare, contrary to the impressions held by many. Some dilatation is common but occurs early and remains stable for long periods. It is also concluded that vein grafts remain patent better than synthetic prostheses or homografts in small vessels.

The author's presentation constitutes a detailed report of the problem as it existed at the time of writing. Developments in this field are so rapid, however, that some of his recommendations concerning arteriography and operative

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