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November 1950

SYMPATHECTOMY FOR HYPERTENSION: Experience with Fifty-Two Patients Followed One to Three Years Postoperatively

Author Affiliations

Clinical Instructor in Surgery, Marquette University School of Medicine; Associate Professor of Surgery, Marquette University School of Medicine MILWAUKEE
From the Department of Surgery, Columbia Hospital, and Marquette University School of Medicine.

AMA Arch Surg. 1950;61(5):810-821. doi:10.1001/archsurg.1950.01250020818004

SYMPATHECTOMY for hypertension remains a controversial subject. Lack of uniformity in case selection, modification of standard operative procedures and variations in methods for analysis of results are factors which have contributed to the confusion existing in the field. Successful case selection has been a most difficult problem.

This report is based on an analysis of the results of sympathectomy on the blood pressure in 52 patients who were selected for operative intervention according to reported criteria1 from a total of 210 hypertensive patients available for study and surgical consultation. These patients have been followed for a period of one to three years postoperatively. The analysis is primarily concerned with the blood pressure responses, although it is conceded that other factors beside high blood pressure are of great importance in hypertensive vascular disease.

METHOD OF CASE SELECTION  A total of 210 hypertensive patients were referred for complete hypertensive study and

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