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January 19, 1963

Arterial OcclusionViewpoint of a Surgeon

JAMA. 1963;183(3):191-194. doi:10.1001/jama.1963.63700030009014a

Atherosclerosis obliterans of the aorta, iliac, femoral, and popliteal arteries is probably one of the most common vascular diseases afflicting man. The incidence of this disease is increasing as a result of the lengthening of the human life span, since it is a degenerative disease occurring primarily in the older age group. In some instances it is complicated by diabetes mellitus which tends to produce this condition earlier in life and, as a result, the obliterative process becomes more extensive. For this reason, it is frequently impossible to perform on diabetic patients reconstructive arterial procedures which are so successful in many nondiabetic patients.

In recent years, as a result of operations performed directly on arteries with arterial obliterative disease, the condition formerly known as thromboangiitis obliterans, or Buerger's disease, is now believed by some surgeons not to be a distinct clinical entity but to represent a presenile type of