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Article |

Restenosis or Occlusion After Carotid Endarterectomy A Survey With Ocular Pneumoplethysmography

Jeffrey E. Kremen, MD; William Gee, MD; Harry A. Kaupp, MD; Kenneth M. McDonald, MD
Arch Surg. 1979;114(5):608-610. doi:10.1001/archsurg.1979.01370290058011.
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• One hundred seventy-three carotid endarterectomies in 141 patients operated on during a 12-year period were surveyed both clinically and by ocular pneumoplethysmography (OPG)-Gee. Seventeen (12%) patients had positive OPG examinations. Three arteries (1.7%) demonstrated symptomatic recurrent stenosis in accord with earlier reports. An additional 8.1% of the operated arteries had asymptomatic recurrent stenosis. A total recurrence rate of 9.8% was found. Because of the considerable silent recurrence rate we have found, we recommend annual screening by OPG. Angiography and repeated endarterectomy are then used when appropriate.

(Arch Surg 114:608-610, 1979)


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