Recurrent carotid stenosis. A five-year series of 65 reoperations.

Abstract:

:From 1979 to 1983, 1726 carotid endarterectomies were performed at the Cleveland Clinic. During this period, 39 men (mean age, 60 years) and 22 women (mean age, 63 years) required 65 reoperations (3.8%) for correction of recurrent carotid stenosis occurring 3 to 194 months (mean, 42 months) after previous endarterectomy at this center (N = 43) or elsewhere (N = 22). Remedial procedures were necessary because of restenosis demonstrated by routine noninvasive testing in 32 asymptomatic lesions and because of neurologic symptoms in 33 others. The mean recurrence interval was 57 postoperative months for atherosclerosis (N = 37) in comparison to 21 months (p = 0.0007) for myointimal hyperplasia (N = 28), and was 48 months for men in comparison to 31 months for women (p = NS). Hypercholesterolemia appeared to be associated with late atherosclerotic recurrence (p = 0.05), but was not a feature of myointimal hyperplasia. Patch angioplasty (N = 59) or graft replacement (N = 3) was employed during 62 of the 65 reoperations, with a total of two operative deaths (3.1%), one nonfatal stroke (1.5%), and six transient cranial nerve injuries (9.2%). Three unrelated late deaths have occurred within a mean follow-up period of 23 months, but only three patients have experienced subsequent neurologic symptoms.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Das MB,Hertzer NR,Ratliff NB,O'Hara PJ,Beven EG

doi

10.1097/00000658-198507000-00004

subject

Has Abstract

pub_date

1985-07-01 00:00:00

pages

28-35

issue

1

eissn

0003-4932

issn

1528-1140

journal_volume

202

pub_type

杂志文章
  • Conversion of exocrine secretions from bladder to enteric drainage in recipients of whole pancreaticoduodenal transplants.

    abstract::Between September 1984 and August 1991, 265 whole pancreaticoduodenal transplants were done at our institution, with bladder drainage of exocrine secretions through a duodenocystostomy. Seventeen patients subsequently underwent conversion from bladder to enteric drainage at 2 to 64 months after transplant. Eight conve...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199212000-00008

    authors: Stephanian E,Gruessner RW,Brayman KL,Gores P,Dunn DL,Najarian JS,Sutherland DE

    更新日期:1992-12-01 00:00:00

  • Workload, Recurrence, Quality of Life and Long-term Efficacy of Endoscopic Therapy for High-grade Dysplasia and Intramucosal Esophageal Adenocarcinoma.

    abstract:OBJECTIVE:To review the workload, type and frequency of recurrence, long-term quality of life (QOL), and late oncologic outcomes with endoscopic therapy. BACKGROUND:The short-term oncologic efficacy of endoscopic resection (ER) and ablation for patients with high-grade dysplasia (HGD) or intramucosal adenocarcinoma (I...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003038

    authors: Schwameis K,Zehetner J,Green KM,DeMeester SR

    更新日期:2020-04-01 00:00:00

  • Impact of current management practices on early and late death in more than 500 consecutive cardiac transplant recipients.

    abstract:OBJECTIVE:To study risk factors for early and late death after heart transplantation in the current era. SUMMARY BACKGROUND DATA:The current cardiac transplant population differs from earlier periods in that an increasing number of sicker patients, such as those with ventricular assist device (LVAD) support, prior car...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200009000-00002

    authors: John R,Rajasinghe H,Chen JM,Weinberg AD,Sinha P,Itescu S,Lietz K,Mancini D,Oz MC,Smith CR,Rose EA,Edwards NM

    更新日期:2000-09-01 00:00:00

  • Reframing Surgical Care: Understanding Complexity and Promoting Teaming.

    abstract::Reframing healthcare delivery in terms of the principles of complex adaptive systems has practical implications for addressing the challenges in improving surgical care. In an Integrated Practice Unit (IPU) - such as a surgical service line, a surgical in-patient floor, or an acute care unit - a diverse group of careg...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001251

    authors: Dillon PW

    更新日期:2015-12-01 00:00:00

  • Long-term survival after resection for bronchogenic carcinoma.

    abstract::Of 915 resections for bronchogenic carcinoma over a 25-year period (1945-1969), 249 patients survived over 5 years; 127 of the patients eligible survived over 10 years, 61 over 15 years, and 22 over 20 years. The case material was divided into three time periods: 1945-49, 1950-59 and 1960-69, as well as by extent of r...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197609000-00010

    authors: Paulson DL,Reisch JS

    更新日期:1976-09-01 00:00:00

  • Accelerated wound healing with stapled enteric suture lines. An experimental study comparing traditional sewing techniques and a stapling device.

    abstract::The healing of 3-cm longitudinal colotomies closed with either Czerny-Lembert suture lines (CLSL) or TA-30 staple lines (SSL) were studied in 28 mongrel dogs using bursting strength (BS) measurements. Dogs from each group were sacrificed on postoperative days (POD) 1 through 7. Mean BS for the SSL in all 14 dogs was 1...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198503000-00019

    authors: Ballantyne GH,Burke JB,Rogers G,Lampert EG,Boccia J

    更新日期:1985-03-01 00:00:00

  • Delayed presentation of traumatic diaphragmatic hernia.

    abstract::Twenty-five patients with traumatic diaphragmatic hernia discovered at least five months after injury are described, of whom 18 were male and seven female. All but one hernia occurred on the left side. Stab wounds were the etiological factor in 22 patients and blunt trauma in three. The diagnosis was most often made b...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197808000-00016

    authors: Hegarty MM,Bryer JV,Angorn IB,Baker LW

    更新日期:1978-08-01 00:00:00

  • An 11 year evolution of coronary arterial surgery (1968-1978).

    abstract::All patients who underwent isolated myocardial revascularization procedures from 1967-70 (n = 741) were compared with the first 1,000 patients who received similar elective operations each year from 1971 through 1978. Data from these eight years were processed through a computerized cardiovascular information registry...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197910000-00004

    authors: Loop FD,Cosgrove DM,Lytle BW,Thurer RL,Simpfendorfer C,Taylor PC,Proudfit WL

    更新日期:1979-10-01 00:00:00

  • Antibiotic prophylaxis in acute nonperforated appendicitis. The Danish Multicenter Study Group III.

    abstract::In a prospective, block-randomized, multicenter study, the safety and efficacy of cefoxitin in preoperative prophylaxis were studied. 1735 patients undergoing appendectomy were evaluable, and half of these patients received 2 g of cefoxitin before undergoing operation. The patients were divided into three groups: pati...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00000658-198903000-00010

    authors: Bauer T,Vennits B,Holm B,Hahn-Pedersen J,Lysen D,Galatius H,Kristensen ES,Graversen P,Wilhelmsen F,Skjoldborg H

    更新日期:1989-03-01 00:00:00

  • Adenoid cystic carcinoma of the breast. Data from the Connecticut Tumor Registry and a review of the literature.

    abstract::The case records of the Connecticut Tumor Registry were reviewed from 1952-1982. There were 37 cases of adenoid cystic carcinoma of the breast (ACC) from a total of 40,350 invasive breast tumors. Patient survival, complications, and pathologic sections were reviewed. Only 14 of 27 surgical pathology slides available f...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000658-198703000-00013

    authors: Sumpio BE,Jennings TA,Merino MJ,Sullivan PD

    更新日期:1987-03-01 00:00:00

  • What have we learned about primary liver transplantation under tacrolimus immunosuppression? Long-term follow-up of the first 1000 patients.

    abstract:OBJECTIVE:To summarize the long-term efficacy and safety of tacrolimus in orthotopic liver transplant (OLT) recipients, as well as to examine the factors that influence long-term morbidity and mortality rates. BACKGROUND:Tacrolimus (FK506, Prograf) was introduced as primary immunosuppression for primary liver transpla...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199909000-00016

    authors: Jain A,Reyes J,Kashyap R,Rohal S,Abu-Elmagd K,Starzl T,Fung J

    更新日期:1999-09-01 00:00:00

  • Enteral contrast in the computed tomography diagnosis of appendicitis: comparative effectiveness in a prospective surgical cohort.

    abstract:OBJECTIVE:Our goal was to perform a comparative effectiveness study of intravenous (IV)-only versus IV + enteral contrast in computed tomographic (CT) scans performed for patients undergoing appendectomy across a diverse group of hospitals. BACKGROUND:Small randomized trials from tertiary centers suggest that enteral ...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/SLA.0000000000000272

    authors: Drake FT,Alfonso R,Bhargava P,Cuevas C,Dighe MK,Florence MG,Johnson MG,Jurkovich GJ,Steele SR,Symons RG,Thirlby RC,Flum DR,Writing Group for SCOAP-CERTAIN.

    更新日期:2014-08-01 00:00:00

  • Surgical management of Menetrier's disease with protein-losing gastropathy.

    abstract::Three patients with Menetrier's disease and protein-losing gastropathy who were studied during a 12 year period have been presented. The characteristic findings which differentiate them from patients with hypertrophic hypersecretory gastropathy, including the Zollinger-Ellison syndrome, are: 1) hypertrophy of gastric ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197505000-00036

    authors: Scott HW Jr,Shull HJ,Law DH 4th,Burko H,Page DL

    更新日期:1975-05-01 00:00:00

  • Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial (LAFA-study).

    abstract:OBJECTIVE:To investigate which perioperative treatment, ie, laparoscopic or open surgery combined with fast track (FT) or standard care, is the optimal approach for patients undergoing segmental resection for colon cancer. SUMMARY BACKGROUND DATA:Important developments in elective colorectal surgery are the introducti...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/SLA.0b013e31821fd1ce

    authors: Vlug MS,Wind J,Hollmann MW,Ubbink DT,Cense HA,Engel AF,Gerhards MF,van Wagensveld BA,van der Zaag ES,van Geloven AA,Sprangers MA,Cuesta MA,Bemelman WA,LAFA study group.

    更新日期:2011-12-01 00:00:00

  • Surgical aspects in the treatment of patients with unilateral wilms tumor: a report from the SIOP 93-01/German Society of Pediatric Oncology and Hematology.

    abstract:OBJECTIVE:To assess surgical aspects in the treatment of children with unilateral Wilms tumor based on data from the Cooperative Tumor Study SIOP 93-01 of the German Society of Pediatric Hematology and Oncology. SUMMARY BACKGROUND DATA:Although multiple international study trials exist for the treatment of nephroblast...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e31819ed92b

    authors: Fuchs J,Kienecker K,Furtwängler R,Warmann SW,Bürger D,Thürhoff JW,Hager J,Graf N

    更新日期:2009-04-01 00:00:00

  • Strategies in the surgical treatment of malignant ventricular arrhythmias. An 8-year experience.

    abstract::Introduction of the automatic implantable cardioverter defibrillator (AICD) has dramatically affected the surgical treatment of malignant ventricular tachyarrhythmias. The authors continue to perform electrophysiologically directed subendocardial resection (SER) of left ventricular (LV) scars in selected patients, and...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199209000-00010

    authors: Geha AS,Elefteriades JA,Hsu J,Biblo LA,Hoch DH,Batsford WP,Rosenfeld LE,Carlson MD,Johnson NJ,Waldo AL

    更新日期:1992-09-01 00:00:00

  • Bariatric Surgery in Medicare Patients: Examining Safety and Healthcare Utilization in the Disabled and Elderly.

    abstract:OBJECTIVE:To compare safety and healthcare utilization after sleeve gastrectomy versus Roux-en-Y gastric bypass in a national Medicare cohort. SUMMARY BACKGROUND DATA:Though bariatric surgery is increasing among Medicare beneficiaries, no long-term, national studies examining comparative effectiveness between procedur...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004526

    authors: Chao GF,Chhabra KR,Yang J,Thumma JR,Arterburn DE,Ryan AM,Telem DA,Dimick JB

    更新日期:2020-11-17 00:00:00

  • Recurrent versus residual carotid stenosis. Incidence detected by Doppler ultrasound.

    abstract::A sterile Doppler probe was used for intraoperative monitoring of the integrity of carotid endarterectomy of 125 vessels of 107 patients. Our objective was to reduce the contribution of residual carotid lesions to recurrent stenosis, which was evaluated by Doppler spectrum analysis in the early (less than 3 months, 66...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198606000-00010

    authors: Barnes RW,Nix ML,Wingo JP,Nichols BT

    更新日期:1986-06-01 00:00:00

  • Vaccinia virus GLV-1h153 is effective in treating and preventing metastatic triple-negative breast cancer.

    abstract:OBJECTIVE:This study aimed to investigate the therapeutic impact of a new oncolytic vaccinia virus in a triple-negative breast cancer (TNBC) murine model and its potential for treating distant metastatic disease. BACKGROUND:TNBCs are aggressive tumors associated with a high metastatic rate. Their lack of targets for h...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3182654572

    authors: Gholami S,Chen CH,Lou E,De Brot M,Fujisawa S,Chen NG,Szalay AA,Fong Y

    更新日期:2012-09-01 00:00:00

  • The treatment of venous leg ulcers: a new therapeutic use of iloprost.

    abstract:BACKGROUND:We conducted a study using an intravenous (i.v.) infusion of iloprost in the treatment of venous ulcers to verify whether the association of i.v. iloprost + local therapy + elastic compression has a favorable effect when compared with traditional treatment with local therapy and elastic compression. STUDY D...

    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0b013e3180caa44c

    authors: Ferrara F,Meli F,Raimondi F,Amato C,Bonura F,Mulè G,Novo G,Novo S S

    更新日期:2007-11-01 00:00:00

  • Surgical correction of posttransplant renovascular hypertension.

    abstract::The incidence of renovascular hypertension in the transplanted kidney is reported to range between 5 and 15%. A review of 391 consecutive renal transplant patients revealed 16 patients (5.4%) with hypertension secondary to partial obstruction of renal arterial blood flow. The clinical course of this group of patients ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198011000-00010

    authors: Dickerman RM,Peters PC,Hull AR,Curry TS,Atkins C,Fry WJ

    更新日期:1980-11-01 00:00:00

  • Aortoenteric fistula. Incidence, presentation recognition, and management.

    abstract::Twenty-two patients developed one or more aortoenteric fistulae following aortic reconstruction with a dacron graft. Endoscopy was performed on 11 of these patients on 17 occasions and a preoperative diagnosis was made in eight patients. Fistulous communication was most common between the aorta and duodenum (60%), and...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198203000-00011

    authors: Champion MC,Sullivan SN,Coles JC,Goldbach M,Watson WC

    更新日期:1982-03-01 00:00:00

  • Intratumoral Genetic Heterogeneity in Rectal Cancer: Are Single Biopsies representative of the entirety of the tumor?

    abstract:OBJECTIVE:Demonstrate intratumoral genetic heterogeneity in rectal cancer. BACKGROUND:Several clinical management decisions in rectal cancer may be influenced by pretreatment biopsy information. However, in the setting of significant intratumoral heterogeneity, biopsies may not be representative of the entirety of the...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001937

    authors: Bettoni F,Masotti C,Habr-Gama A,Correa BR,Gama-Rodrigues J,Vianna MR,Vailati BB,São Julião GP,Fernandez LM,Galante PA,Camargo AA,Perez RO

    更新日期:2017-01-01 00:00:00

  • The Importance of Registries in the Postmarketing Surveillance of Surgical Meshes.

    abstract:OBJECTIVE:To assess the role of registries in the postmarketing surveillance of surgical meshes. BACKGROUND:To date, surgical meshes are classified as group II medical devices. Class II devices do not require premarket clearance by clinical studies. Ethicon initiated a voluntary market withdrawal of Physiomesh for lap...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/SLA.0000000000002326

    authors: Köckerling F,Simon T,Hukauf M,Hellinger A,Fortelny R,Reinpold W,Bittner R

    更新日期:2018-12-01 00:00:00

  • The international position on laparoscopic liver surgery: The Louisville Statement, 2008.

    abstract:OBJECTIVE:To summarize the current world position on laparoscopic liver surgery. SUMMARY BACKGROUND DATA:Multiple series have reported on the safety and efficacy of laparoscopic liver surgery. Small and medium sized procedures have become commonplace in many centers, while major laparoscopic liver resections have been...

    journal_title:Annals of surgery

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1097/sla.0b013e3181b3b2d8

    authors: Buell JF,Cherqui D,Geller DA,O'Rourke N,Iannitti D,Dagher I,Koffron AJ,Thomas M,Gayet B,Han HS,Wakabayashi G,Belli G,Kaneko H,Ker CG,Scatton O,Laurent A,Abdalla EK,Chaudhury P,Dutson E,Gamblin C,D'Angelica M,Nag

    更新日期:2009-11-01 00:00:00

  • Aortic valve replacement in the elderly. Risk factors and long-term results.

    abstract:OBJECTIVE:The current study was undertaken to determine long-term results of aortic valve replacement (AVR) in the elderly, to ascertain predictors of poor outcome, and to assess quality of life. SUMMARY BACKGROUND DATA:Aortic valve replacement is the procedure of choice for elderly patients with aortic valve disease....

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199706000-00017

    authors: Tseng EE,Lee CA,Cameron DE,Stuart RS,Greene PS,Sussman MS,Watkins L,Gardner TJ,Baumgartner WA

    更新日期:1997-06-01 00:00:00

  • The role of splenectomy in multimodality treatment of thrombotic thrombocytopenic purpura.

    abstract::Current treatment modalities for thrombotic thrombocytopenic purpura (TTP) include plasmapheresis (PP), splenectomy, steroids, dextran, other antiplatelet agents, and vinca alkaloids. Prior to the development of PP and use of multimodality treatment for TTP, mortality rates exceeded 50%. This report reviews 11 patient...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198509000-00007

    authors: Schneider PA,Rayner AA,Linker CA,Schuman MA,Liu ET,Hohn DC

    更新日期:1985-09-01 00:00:00

  • A systematic proactive risk assessment of hazards in surgical wards: a quantitative study.

    abstract:OBJECTIVE:To identify and prioritize hazards in surgical wards and recommend interventions. BACKGROUND:Retrospective and prospective studies report the frequency and severity of surgical adverse events, but not in sufficient detail to allow interventions to be recommended in surgical wards. METHODS:Seventy hours of o...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e31824f5f36

    authors: Anderson O,Brodie A,Vincent CA,Hanna GB

    更新日期:2012-06-01 00:00:00

  • Colon surgery for cancer in the very elderly. Cost and 3-year survival.

    abstract::Is colon cancer surgery justified in the very elderly from the standpoint of cost and 3-year survival rates? Two hundred eighty patients undergoing major surgery for colon cancer during 1981-1983 were divided into a group of 61 with ages greater than or equal to 80 (GE80) and 219 less than 80 (LT80). Although those GE...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198602000-00003

    authors: Hobler KE

    更新日期:1986-02-01 00:00:00

  • Gene expression signature of the gross morphology in hepatocellular carcinoma.

    abstract:OBJECTIVE:To evaluate the gene expression signature of hepatocellular carcinoma (HCC) in relation to the gross morphology. BACKGROUND:Eggel's nodular type of HCC is morphologically subclassified into the single nodular (SN) type, the single nodular type with extranodular growth (SNEG), and the confluent multinodular (...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181f9bc00

    authors: Murakata A,Tanaka S,Mogushi K,Yasen M,Noguchi N,Irie T,Kudo A,Nakamura N,Tanaka H,Arii S

    更新日期:2011-01-01 00:00:00