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August 1970

Peripheral Arterial Disease: A Physiological Approach.

Arch Intern Med. 1970;126(2):335. doi:10.1001/archinte.1970.00310080141024

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This is a useful monograph by the chief of the peripheral vascular service of the Seattle Veterans Administration Hospital. It reviews the anatomy and physiology of obstructive lesions in arteries to limbs, and methods of estimating flow and pulsations in limbs and digits (strain gauges, dye and isotope dilution, electromagnetic and ultrasonic flow meters). In the case histories upon which the author's experience is based, he shows the value of these techniques in measuring impairment of circulation, and in predicting success or failure of treatment by graded exercise, sympathectomy, or by direct surgical revision of arteries. There is no reference to vasodilators or physiotherapy, which indicates that the author's experience with these modalities has been as disappointing as my own.

Most valuable both to physicians and surgeons are the sections dealing with selection of cases for various surgical procedures, problems arising during and after operation, evaluation of results, and

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