Bollinger, A.; Simon, H. J.; Mahler, F.
July 1969
Angiology;Jul/Aug1969, Vol. 20 Issue 7, p414
Academic Journal
The development of collateral vessels after acute or subacute limb artery occlusions was evaluated by measurements of reactive hyperemia flow in the calf (venous occlusion plethysmography). The study included 68 patients, on whom a total of 107 measurements were performed. The duration of development of collateral vessels varied between 6 months and 2 years. One year and more after the onset of intermittent claudication the reactive hyperemia How averaged -1-89 per cent when compared to a group of patients examined within the first month after arterial occlusion. Typical examples of follow-up studies after acute and subacute limb artery occlusions are given. In 15 patients with stenoses of the iliac and femoral arteries, however, a decrease in reactive hyperemia flow was observed in most cases. The natural course of arteriosclerosis obliterans is characterized by ''valleys" corresponding to progressive stenoses or to total occlusions. The maximal stimulus for development of collateral vessels is only given after complete occlusion.


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