[Evaluation of arterial occlusive disease]. / Die Begutachtung arterieller Durchblutungsstörungen

In giving an opinion on arterial circulation disorders, an arterial occlusion is predominant. As a rule, the diagnosis based on anamnestic data, clinical examinations and some functional tests causes no difficulties. An angiography simplifies the evaluation, but it should be carried out only to distinguish a generalized vasculopathy from a local one. The arterial occlusion is a chronic and progressive disease with coronary vessels being mainly involved. The muscular force of the patient is reduced, local infections and traumatisms menace him thus reducing his working capacity. Anticoagulants must often be given continuously, the vascular systems of the heart and the brain may be impaired. It is extremely difficult to elucidate causal relationships, especially in case of injuries suffered during military service. It is the general opinion nowadays that cold-injuries entail a limited angiitis but no generalized vasculopathy.