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February 1958

Replacement Arterial Grafts

Author Affiliations

New York
From the Cardiovascular Unit, Department of Surgery, St. Vincent's Hospital, and New York University College of Medicine.

AMA Arch Surg. 1958;76(2):271-274. doi:10.1001/archsurg.1958.01280200093010

From 1931 to 1935, with the assistance of Dr. W. W. Babcock of Philadelphia, four patients with aneurysms were treated by excision and end-to-end vein grafts. From 1935 to 1942 four additional aneurysms, including two of the carotid artery, were treated by excision and vein grafts. After the war, from 1945 to 1952, five additional end-to-end vein grafts were placed, three for aneurysm and two for traumatic injury to the arteries. Whether these continued functioning indefinitely or not, the circulation distally was not lost. These end-to-end grafts are mentioned only as background.1

In 1952 the work of Leriche and Kunlin,3,4 utilizing end-to-side grafts to bridge areas of occlusive arterial disease, was observed in Paris, and immediately thereafter my colleagues and I began the same type of operation in our clinic. From 1952 to 1954 a total of 26 end-to-side autogenous vein grafts were inserted for aneurysmal or occlusive