Recurrent carotid artery stenosis following endarterectomy.

Abstract:

:Spectral analysis was used to examine 257 carotid arteries in 227 patients who had undergone carotid endarterectomy at 1, 3, 6, and 12 months after surgery and annually thereafter. Routine intraoperative completion angiography ensured that the operations were technically satisfactory. Postoperative restenoses were identified in 38 patients (15%). In 23 arteries (9%), the restenosis exceeded a 50% diameter reduction while in 15 arteries (6%) the stenosis was less than 50% of the diameter. Restenosis developed in 24/96 women (25%) and 14/161 men (9%). Twenty-nine (70%) stenotic lesions occurred within 12 months. In three patients early lesions regressed. Reoperation with patch angio-plasty was required in six patients. When the 219 carotid arteries that remained widely patent were compared to the 38 that restenosed , no differences were noted for age, diabetes mellitus, hypertension, smoking, or degree of preoperative stenosis. Early stenotic lesions appear to be due to myointimal hyperplasia, which is probably platelet mediated. The predominant female sex distribution may be explained by differences in platelet responsiveness in men and women.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Thomas M,Otis SM,Rush M,Zyroff J,Dilley RB,Bernstein EF

doi

10.1097/00000658-198407000-00013

subject

Has Abstract

pub_date

1984-07-01 00:00:00

pages

74-9

issue

1

eissn

0003-4932

issn

1528-1140

journal_volume

200

pub_type

杂志文章
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    authors: Romanus ME,Neal JA,Dilley WG,Leight GS,Linehan WM,Santen RJ,Farndon JR,Jones RS,Wells SA Jr

    更新日期:1983-05-01 00:00:00

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    doi:10.1097/SLA.0000000000000324

    authors: Chowdhury AH,Cox EF,Francis ST,Lobo DN

    更新日期:2014-05-01 00:00:00

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    authors: Williams TM,Harken AH

    更新日期:2008-01-01 00:00:00

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    authors: Oberg S,Peters JH,DeMeester TR,Chandrasoma P,Hagen JA,Ireland AP,Ritter MP,Mason RJ,Crookes P,Bremner CG

    更新日期:1997-10-01 00:00:00

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    authors: Harkin DW,Barros D'Sa AA,McCallion K,Hoper M,Halliday MI,Campbell FC

    更新日期:2001-08-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2010-09-01 00:00:00

  • Pulsatile reperfusion after cardiac arrest improves neurologic outcome.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199110000-00012

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    更新日期:1991-10-01 00:00:00

  • Lung vascular injury with protease infusion. Relationship to plasma fibronectin.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198508000-00016

    authors: Cohler LF,Saba TM,Lewis EP

    更新日期:1985-08-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章

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    authors: Schanzer H,Peirce EC 2nd

    更新日期:1982-01-01 00:00:00

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    authors: Molina JE,Lawton BR,Myers WO,Humphrey EW

    更新日期:1982-02-01 00:00:00

  • Hypothermic Oxygenated Liver Perfusion (HOPE) Prevents Tumor Recurrence in Liver Transplantation From Donation After Circulatory Death.

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    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000004258

    authors: Mueller M,Kalisvaart M,O'Rourke J,Shetty S,Parente A,Muller X,Isaac J,Muellhaupt B,Muiesan P,Shah T,Clavien PA,Schlegel A,Dutkowski P

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    pub_type: 杂志文章

    doi:10.1097/00000658-198206000-00003

    authors: Johnston WD,Lopez MJ,Kraybill WG,Bricker EM

    更新日期:1982-06-01 00:00:00

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    更新日期:2006-04-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199803000-00009

    authors: Schott A,Vogel I,Krueger U,Kalthoff H,Schreiber HW,Schmiegel W,Henne-Bruns D,Kremer B,Juhl H

    更新日期:1998-03-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-198202000-00012

    authors: Thomas WE,Thompson MH,Williamson RC

    更新日期:1982-02-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

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    authors: Norman JG,Fink G,Franz M,Guffey J,Carter G,Davison B,Sexton C,Glaccum M

    更新日期:1996-02-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1985-11-01 00:00:00

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    pub_type: 杂志文章

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    authors: Clavien PA,Yadav S,Sindram D,Bentley RC

    更新日期:2000-08-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000658-197907000-00006

    authors: Davidson ED,Hersh T,Brinner RA,Barnett SM,Boyle LP

    更新日期:1979-07-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198612000-00015

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    更新日期:1986-12-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198202000-00018

    authors: Llanos O,Guzmán S,Duarte I

    更新日期:1982-02-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1981-10-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1985-12-01 00:00:00

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    更新日期:2003-05-01 00:00:00

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