Original communication Society for Vascular Surgery| Volume 37, ISSUE 1, P115-129, January 1955

A critical evaluation of lumbar sympathectomy for peripheral arteriosclerotic vascular disease

      This paper is only available as a PDF. To read, Please Download here.


      • 1.
        1. A critical review of the results of 391 lumbar sympathectomies in 275 patients during the years 1945–1952, inclusive, has been presented.
      • 2.
        2. Good results were obtained in 94 (34 per cent) and poor results without amputation in 55 (20 per cent). One hundred seven major amputations were performed on 119 patients, and 108 patients are dead, the average survival time being twenty-five months. One-third lived less than one year.
      • 3.
        3. Comparative analysis of diabetic and nondiabetic patients with ulceration or gangrene reveals the results to be essentially the same.
      • 4.
        4. Factors affecting anticipated results from sympathectomy have been discussed and, based upon the results of this study, five categories have been presented in which the minimal number of good results were obtained.
      • 5.
        5. Evidence is presented supporting the desirability of bilateral operation provided that it is compatible with the patient's general condition.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Trimble R.
        • Cheney W.S.
        • Moses W.R.
        The Operative Attack on Organic Peripheral Vascular Disease.
        Surgery. 1944; 15: 655-678
        • deTakats G.
        • Fowler E.F.
        • Jordan P.
        • Risley T.C.
        Sympathectomy in the Treatment of Peripheral Vascular Sclerosis.
        J. A. M. A. 1946; 131: 495-499
        • Yeager G.H.
        • Cowley R.A.
        Anatomical Observation on the Lumbar Sympathetics With Evaluation of Sympathectomies in Organic Peripheral Vascular Disease.
        Ann. Surg. 1948; 127: 953-967
        • Gerber L.
        • McCune W.S.
        • Eastman W.
        Lumbar Sympathectomy for Arteriosclerotic Gangrene.
        Surgery. 1949; 59: 1234-1243
        • Coller F.A.
        • Campbell K.N.
        • Harris B.M.
        • Berry R.E.L.
        The Early Results of Sympathectomy in Far Advanced Arteriosclerotic Peripheral Vascular Disease.
        Surgery. 1949; 26: 30-40
        • Jemerin E.E.
        Sympathectomy in Peripheral Arteriosclerosis.
        Ann. Surg. 1949; 129: 65-73
        • DeBakey M.E.
        • Creech O.
        • Woodhall J.P.
        Evaluation of Sympathectomy in Arteriosclerotic Peripheral Vascular Disease.
        J. A. M. A. 1950; 144: 1227-1231
        • Julian O.C.
        • Shabart E.J.
        Lumbar Sympathectomy in Peripheral Vascular Disease.
        Arch. Surg. 1950; 61: 804-809
        • Edwards E.A.
        • Crane C.
        Lumbar Sympathectomy for Arteriosclerosis of the Lower Extremities.
        New England J. Med. 1951; 244: 199-204
        • Smith R.G.
        • Gullickson M.
        • Campbell D.A.
        Some Limitations of Lumbar Sympathectomy in Arteriosclerosis Obliterans.
        Arch. Surg. 1952; 64: 103-107
      1. Commissioners Standard Ordinary Mortality Table. 1941 (New York)