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October 7, 1974

... Further Comment

Author Affiliations

University of Oregon Medical School Portland, Ore

JAMA. 1974;230(1):92. doi:10.1001/jama.1974.03240010060038

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It is difficult to generate data that are clear and conclusive when one is working on an "end of the line" clinical area where not very much can be done for the patient. Thus, determination of exact disease classification categories and quantitative evaluation of results, in terms of developing a constant expectation from therapy, are difficult. But it is here that individual successes are spectacular and well remembered.

Those of us who have done a large amount of vascular surgery usually set out to achieve a total technical correction of vascular occlusion. This is as it should be since operation permits this type of correction. But we are all familiar with the patient who has symptoms of peripheral occlusive vascular disease on whom we are reluctant to perform surgery for a number of valid reasons. It is possible to help some of these patients by producing a small improvement in