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The Journal of Thoracic and Cardiovascular Surgery, Vol 70, 107-113, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
F Robicsek, HK Daugherty, DC Mullen, TN Masters, D Narbay and PW Sanger
The effects of continued smoking were studied in 187 consecutive patients
who underwent aorto-iliac or aorto-femoral grafting because of Leriche
disease and who left the hospital with well-functioning grafts. The
patients were divided into the following groups: (1) never smoked, (2)
stopped smoking after the operation, (3) continued to smoke less than a
pack a day and (4) continued to smoke more than a pack a day. The patency
of the grafts was evaluated at regular intervals during a follow-up period
ranging from 6 months to 10 years. A significant difference in the patency
in the favor of the nonsmokers was found, with the "more than one pack a
day" group having more than triple the occlusion rate of the nonsmokers,
both absolutely and in month-patency time. We recommend that the surgeon
make a most sincere effect to induce patients undergoing vascular
operations for occlusive vascular diseases to give up smoking. Failure to
promise to stop the smoking habit should be regarded as a relatively strong
contraindication for surgery in patients not directly threatened with loss
of an extremity.
ARTICLES
The effect of continued cigarette smoking on the patency of synthetic vascular grafts in Leriche syndrome
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