Successful surgical treatment of obliterative arterial disease, as well an aneurysm, has been established. However, the modus operandi is still in a state of flux, insofar as the replacement material to be employed is concerned. De Bakey,1 who has published the greatest series of cases to date, has given up the use of the homograft in most instances and is now employing a crimped Dacron prosthesis. Shumacker2 and Edwards3 have been utilizing the crimped nylon tube wherever feasible.
It is certainly understandable and logical that employment of these materials has sparked the advances and dramatic results in the amelioration of symptoms, as well as cure, of those unfortunate patients with occlusive arterial disease, as has Sputnik in the missiles race.
However, in those communities where the vascular bank is nonexistent, or the vascular bank is wanting, or the "stockpile" of synthetic prostheses is not present, or the "size" is not
WAGNER M, BENJAMIN HB, ZEIT W, KUZMA JF. The Autoplastic Cutis Vascular Graft: Report of Cases. AMA Arch Surg. 1958;77(4):652–654. doi:10.1001/archsurg.1958.04370010184019
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