WE are reporting the cases of 224 patients (operated on consecutively) with extracranial arterial occlusive disease. These patients were studied by the Seldinger1 technique of arteriography to visualize the aortic arch, and the tributary extracranial and intracranial arterial systems. The surgical considerations relating to extracranial occlusive arterial disease have been well documented.2-4 One hundred and sixty-two patients in this series were male and 62 patients were female. Five patients were between the ages of 30 to 40 years, 31 patients between 40 and 50 years, 87 patients between 50 and 60 years, 81 patients between 60 and 70 years, and 20 patients between 70 and 80years of age. One hundred and five patients were judged to be hypertensive with a resting blood pressure over 140/90 mm Hg. One hundred and three patients had an abnormal electrocardiogram with evidences of either a healed myocardial, cardiac hypertrophy, or conduction defects.