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(Circulation. 1957;15:21.)
© 1957 American Heart Association, Inc.

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Arterial Homografts for Peripheral Arteriosclerotic Occlusive Disease

MICHAEL E. DE BAKEY M.D.¹; E. STANLEY CRAWFORD M.D.¹; OSCAR CREECH JR. M.D.¹; DENTON A. COOLEY M.D.¹

¹ From the Cora and Webb Mading Department of Surgery, Baylor University College of Medicine, and the Methodist, Jefferson Davis, and Veterans Administration Hospitals, Houston, Tex.

Sympathectomy and thrombo-endarterectomy have been largely unsatisfactory in the treatment of patients with arterial insufficiency of the lower extremities. In this paper the results are analyzed of a large experience with the use of lyophilized arterial homografts to bridge occlusive lesions below the aortic bifurcation. The criteria for selection of patients for operation, the simplified procedure of end-to-side by-pass of the obstruction, and the excellent results in 145 operations are presented.

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