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January 1957

Major Arterial Grafting in One Hundred Sixty-Nine Consecutive Cases: A Preliminary Report on Incidence of Success and Failure

Author Affiliations

From the Departments of Cardiovascular Disease and Vascular Surgery of the Cleveland Clinic Foundation and The Frank E. Bunts Educational Institute.

AMA Arch Surg. 1957;74(1):65-70. doi:10.1001/archsurg.1957.01280070069008

This analysis is presented as a preliminary report of results in arterial grafting. The longest follow-up is 27 months. All but one case received freeze-dried homografts sterilized in ethylene oxide.

Of the 169 cases, 102 were in the aortoiliac region, 63 were femoropopliteal, 3 were of the renal arteries, and 1 was a carotid artery. The anatomic locations are listed in Table 1. The unusually large number of femoral grafts in comparison with the number of aortic grafts results from many femoropopliteal grafts attempted in order to prevent amputation—even when the chance of success was poor. If these were omitted, the proportion of aortoiliac to

Analysis of Results  A better understanding of the results may be obtained if the cases are divided under femoropopliteal grafts (exclusive of aneurysms) would be approximately two to one in favor of the higher location.

several headings:  initial success, continued success, initial failure,

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