| Autor: |
Paul W. Sanger, Francis Robicsek, Mullen Dc, Dundar Narbay, Thomas N. Masters, Harry K. Daugherty |
| Rok vydání: |
1975 |
| Předmět: |
|
| Zdroj: |
The Journal of Thoracic and Cardiovascular Surgery. 70:107-112 |
| ISSN: |
0022-5223 |
| DOI: |
10.1016/s0022-5223(19)40386-3 |
| Popis: |
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. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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