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September 1956

Indications for Direct Arterial and Aortic Surgery in Obliterative Disease

Author Affiliations

From the Department of Surgery, University of Colorado School of Medicine, and the Denver Veterans Administration Hospital.

AMA Arch Surg. 1956;73(3):411-417. doi:10.1001/archsurg.1956.01280030037005

Resection and graft replacement of the aorta and great vessels of the lower extremities for atherosclerosis have passed from the realm of the surgical curiosity to that of the commonplace, and sufficient clinical experience has now accumulated in many surgical centers to warrant critical analysis of the indications for such procedures. The major current interest is centered upon the technical aspects of this problem with only occasional reference to its applicability. Frequently one is left with the impression that the vast majority of persons suffering from arterial insufficiency of the lower extremity are suitable candidates for surgical replacement of their diseased vessels. Such has not been our experience. The purpose of this paper is to review the experience gained in the evaluation of 67 patients suffering from obliterative arterial disease of the great vessels to the lower extremities and to analyze the factors that were considered in selecting patients for