Buerger's disease in the modern era

Joseph L Mills, Lloyd M. Taylor, John M. Porter

Research output: Contribution to journalArticle

98 Citations (Scopus)

Abstract

In an effort to determine the current incidence and clinical course of Buerger's disease, we reviewed the records of over 700 patients with small artery disease who were evaluated at Oregon Health Sciences University during a 15 year period. We identified 26 patients who met rigid criteria for the diagnosis of Buerger's disease. An analysis of the management and extended follow-up of these patients has indicated that Buerger's disease, although rare, is a real clinical entity which can be diagnosed objectively. The relatively high rate of limb loss (31 percent of patients) documents the virulence of Buerger's disease involving the lower extremities. No major upper extremity amputations were required, and no patient lost further tissue after cessation of smoking. These findings and the low mortality rate in this study stand in contrast to many previous reports and may aid in establishing the current natural history of Buerger's disease in North America.

Original languageEnglish (US)
Pages (from-to)123-129
Number of pages7
JournalAmerican Journal of Surgery
Volume154
Issue number1
DOIs
StatePublished - 1987
Externally publishedYes

Fingerprint

Thromboangiitis Obliterans
Smoking Cessation
North America
Amputation
Upper Extremity
Virulence
Lower Extremity
Extremities
Arteries
Mortality
Incidence
Health

ASJC Scopus subject areas

  • Surgery

Cite this

Buerger's disease in the modern era. / Mills, Joseph L; Taylor, Lloyd M.; Porter, John M.

In: American Journal of Surgery, Vol. 154, No. 1, 1987, p. 123-129.

Research output: Contribution to journalArticle

Mills, Joseph L ; Taylor, Lloyd M. ; Porter, John M. / Buerger's disease in the modern era. In: American Journal of Surgery. 1987 ; Vol. 154, No. 1. pp. 123-129.
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