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At least 73 records · Page 4Linked to original sources
PubMed1957

The surgical treatment of arteriosclerotic occlusive disease; thromboendarterectomy in selected cases.

Thromboendarterectomy appears to be the procedure of choice in the surgical treatment of localized obstructive arteriosclerosis in the aortoiliac area in a relatively young patient. Clinical follow-up over a three-year period demonstrated maintenance of a maximum benefit and suggested that the endarterectomized area will remain patent for the duration of the patient's life. In younger patients, it seems logical to reestablish vascular continuity with their own tissues by a careful endarterectomy rather than by homograft replacement because of the reported incidence of late thrombosis in the latter."Diffuse" arteriosclerosis definitely limits the potential benefit or effectiveness of thromboendarterectomy. However, lumbar sympathectomy may still bring about definite benefit in particular cases. The careful selection of patients with localized or segmental arteriosclerosis and well developed collateral circulation would seem to be the greatest factor in obtaining a maximum result by thromboendarterectomy.

Arteriosclerosis↗
PubMed1957

Peripheral arteriosclerosis; arterial grafting procedures; indications and results. I. Arteriosclerotic aneurysms.

In 32 cases aneurysms of the aorta and peripheral arteries were resected and replaced by grafts. The results from the use of homografts in 18 cases were more satisfactory than with the use of Ivalon in 14 cases. The abdominal aorta was the most frequent location of aneurysms. The current mortality rate of 5.5 per cent for resection of unruptured abdominal aneurysms indicates that resection and grafting are an effective means of reducing the high mortality of untreated aneurysms. Five ruptured aneurysms were excised, with a mortality rate of 40 per cent. The uniformly fatal outcome of untreated ruptured abdominal aneurysms makes it obligatory for the surgeon to operate immediately after the diagnosis is first made.

Aneurysm↗