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KMID : 0364019910240121173
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Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 12 p.1173 ~ p.1184
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Surgical Treatment of Peripheral Arterial Disease
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김한용/Kim, H.Y.
조재호/장재현/이필수/송원영/유병하/Cho, J.H./Chang, J.H./Lee, P.S./Song, W.H./Yoo, B.H.
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Abstract
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This report is a review of 55 cases of peripheral arterial disease, who were treated at the department of thoraci(´: and cardiovascular surgery, Masan Koryo General Hospital from January, 1986 to December, 1990.
The result are summerized as follows
1. The incidence of peripheral arterial disease were as follows that : Arterial injury was in 21cases(38.2%), arteriosclerosis oblitrans 18cases(32.7%), thromboembolism 9cases(16. 4%), Buerger´s disease was in 7cases(12.7%).
2. Overall male to female ratio was 6.8 : 1, the prevalent age was 3rd and 4th decade in arterial injury, 7th and 8th decade in atherosclerosis and thromboembolism and 5th and 6th decade in Buerger´s disease.
3. The famer was the first ranked occupation of these patients with chronic occlusive arterial disease, which was composed of 17 cases (68%).
4. 23 cases of patients with chronic occlusive disease has been smoking and most of them have been smoking over 10 years.
5. The clinical symptoms in acute and chronic arterial obstruction were pain, claudication, gangrene and coldness in order.
6. The duration of symptom of chronic arterial occlusive disease was less 1 years in 15 cases (60%).
7. The lower extremity were more affected than upper extremity in peripheral arterial disease.
8. The cause of arterial injury was traffic accident 9cases(42.9%), stab wound 8 cases (38.1%), postangiography 2 cases(9.5%) and belt injury 1 case.
9. The etiologic factors of acute arterial occlusion was atrial fibrillation, myocardial ischemia and postangiography in order.
10. Lumber sympathectomy in Buerger´s disease, artificial bypass graft in atherosclerosis and thromboembolctomy in thromboembolism, end to end with vein graft in arterial injury were performed frequently.
11. Conclusively, overall result was satisfactory but 3 cases was below knee amputated after operation of chronic arterial occlusive disc tse.
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