Late Results of Arterial Reconstructive Surgery

Open femoro-popliteal endarterectomy with long vein patch

“…As in the reports of Barker and others (I955), Gutelius and others, 1965;LeVeen, 1965). Although the semi-closed operation using strippers is more commonly practised (Cannon and others, 1958;Cockett, 1964; Hall, 1964b; Wylie and others, 1964), a completely smooth dissection with these instruments in the right plane is only easy if the atheroma is 'ripe and cheesy' (Shucksmith and Addison, 1962) and may be very difficult if the intima is very adherent or calcified. It is in these circumstances that the accuracy and control achieved by a fulllength arteriotomy are so welcome.…”

The Surgery of Renal Artery Stenosis1

“…By-pass grafting has not been used as the method of first choice because of doubts as to the long-term survival of the materials which have been used. Plastic materials have been used infrequently because of the thrombosis incidence in other situations in vessels of similar size (Shucksmith and Addison, 1962). Homografts were used initially but recent reports of aneurysm formation and late rupture in other situations (Ashton et al, 1962) have led to a trial of autogenous vein grafts.…”