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J. THOMAS PAYNE, M.D.

AMA Arch Surg. 1953;67(6):902-915.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE RELATIONSHIP of phlebitis of the lower limbs to pulmonary embolus was established by Virchow in 1846-1856.¹ Since that time much has been learned about the incidence of phlebitis and the statistical relationship of the various types of phlebitis to pulmonary embolism. However, the serious problem of preventing emboli from reaching the lungs has not been satisfactorily solved to date. As a corollary of this, the prevention of further emboli after the initial one has reached the lungs is also a serious problem. It is with these two problems that this paper is concerned.

The treatment of thrombophlebitis complicated by pulmonary emboli has gone through three general eras which have been marked by waves of enthusiasm, unpopularity, and final acceptance for a definite set of clinical circumstances. The concept of venous interruption was proposed in 1934.² This has since been applied to all levels in the lower extremities, . . . [Full Text PDF of this Article]

Author Affiliations
SEATTLE

From the Department of Surgery, University of Washington School of Medicine, and the Seattle Veterans Administration Hospital.

Footnotes
Reviewed in the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the author are the result of his own study and do not necessarily reflect the opinion or policy of the Veterans Administration.

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