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KMID : 0358819870140020211
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1987 Volume.14 No. 2 p.211 ~ p.218
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CLINICAL STUDY OF BUERGER’S DISEASE, BASED ON ANGIOGRAM
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Whang Jong-Ik
Kim Soo-Shin
Baek Se-Min
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Abstract
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Thromboangitis obliterans has been recognized clinical entity for more than half a century (Leo Buerger 1908). Buerger’s disease is a specific recurrent, segmental, inflammatory, obliterative vascular disease involving principally the medium sized artery and vein and its classic type occurs relatively frequently in Orient, Korea and Japan, despite the rarity of atherosclerosis and of thromboembolic disease.
95 cases with Buerger’s disease among the peripheral vascular occlusive disease were experienced at Department of Plastic and Reconstructive Surgery in Korea University Guro Hospital between January 1984 and March 1986.
We made clinical study for this patients and the results were as follows:
1. All patients were male and the majority of the patients were between the age of 21 and 50 years, at onset of symptoms with range being 21 to 40.
2. Patients except 5 cases and smoked heavily at the onset of their symptoms with pain, claudication coldness and necrosis.
3. The most common extremities affected were both lower extremities, 19 cases revealed involvement of the both upper and lower extremities, and 1 case showed involvement of only upper extremities.
4. The most common sites of obstruction were, posterior tibial artery, anterior tibial artery and superficial femoral artery in femoral angiogram, and ulnar artery, radial artery and deep palmar arch in brachial angiogram in that order of frequency.
5. In 33 of 95 patients, it was possible to undertake 26 micro-endarterectomy, bypass in 1, micro-endarterectomy combined with bypass graft in 3, micro-endarterectomy with amputation in 1, and amputation in 2.
Among the endarterectomy cases, we experienced 4 cases of reocclusion within 6 month and only 1 case showed poor prognosis, amputation.
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KEYWORD
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