TITLE

A MEDICAL APPRAISAL OF THERAPY FOR OCCLUSIVE ARTERIAL DISEASE

AUTHOR(S)
Stein, Irwin D.
PUB. DATE
April 1964
SOURCE
Angiology;Apr1964, Vol. 15 Issue 4, p188
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
In treating occlusive arterial disease of the limbs one must nevertheless consider the whole patient. We have tubular vision when we limit ourselves to a particular drug or surgical measure. At best we still are a long way from the ideal method of management, which is prevention. This may have to wait for the day when we learn to control genetic development and breed individuals resistant to arteriosclerosis. It is ridiculous to emphasize low fat diets and to feed cholesterol-lowering drugs to adults. The atherosclerosis and the ulcerative lesions are not reversible. The same is probably true of anticoagulants since thrombosis is only a part of the occlusive process. In the over-all management of the patient with peripheral vascular disease it is wise to let the body develop its own resources, its collateral circulation to combat the depletion of a vascular bed. It needs no verbal orders or supervision from the outside to do this, but it may be aided by the physician who prescribes exercise judiciously, who sees that foot care is not a sheet of instructions but a way of life, who combats bacterial infection vigorously with the appropriate antibiotic, and who prescribes medications for the symptomatic relief of pain, discomfort and anxiety. Until specific proof is presented to the contrary, it seems wise to use vasodilator drugs. When this regime fails, as it will in a small number, then and only then in such an emergent situation, do we feel that arterial grafting has its place. Success at this point gives a little extra time in controlling a disease which progresses relentlessly.
ACCESSION #
16371723

 

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