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Article
May 1979

Restenosis or Occlusion After Carotid EndarterectomyA Survey With Ocular Pneumoplethysmography

Author Affiliations

From the Department of Surgery, Allentown and Sacred Heart Hospital Center, Allentown, Pa.

Arch Surg. 1979;114(5):608-610. doi:10.1001/archsurg.1979.01370290058011
Abstract

• 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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