EDGAR A. HINES JR., M.D., F.A.C.P.
The syndrome of chronic aorto-iliac occlusive arterial disease begins when the occlusive process impairs the flow of blood enough to cause clinically recognizable symptoms and signs of arterial insufficiency. The occlusion usually results from a thrombus superimposed upon an area of localized atheroma formation. Occasionally, large atheromas only partially occlude the lumen but produce enough functional narrowing to cause symptomatic arterial insufficiency. The most common symptom of arterial insufficiency is intermittent claudication, which is characterized by distress induced by exercise, usually walking, and is relieved within minutes by stopping and standing, if not by just slowing the pace.
HINES EA. DIAGNOSIS OF CHRONIC AORTO-ILIAC OCCLUSIVE ARTERIAL DISEASE1. Ann Intern Med. ;51:679–685. doi: 10.7326/0003-4819-51-4-679
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Published: Ann Intern Med. 1959;51(4):679-685.
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