{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T11:36:46Z","timestamp":1771069006726,"version":"3.50.1"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2003,12]]},"abstract":"<jats:p><jats:bold><jats:italic>Background and Purpose\u2014<\/jats:italic><\/jats:bold>We sought to determine the incidence of recurrent stenosis after carotid endarterectomy.<\/jats:p><jats:p><jats:bold><jats:italic>Methods\u2014<\/jats:italic><\/jats:bold>One thousand consecutive carotid endarterectomy patients were followed prospectively. The surgery was performed in a standard fashion. Cerebral protection was provided with intraoperative electroencephalographic monitoring and selective shunting. All arteriotomies were repaired with a patch graft. Each patient was seen 3 months after surgery and then yearly, with a duplex ultrasound obtained at each visit. Evidence for new ischemic events or recurrent stenosis of \u226570% was recorded.<\/jats:p><jats:p><jats:bold><jats:italic>Results\u2014<\/jats:italic><\/jats:bold>The 30-day combined minor and major stroke and death rate was 1.9%. At 7.1-year follow-up, 0.1% of patients had recurrent stenosis \u226570%, the majority of which were asymptomatic.<\/jats:p><jats:p><jats:bold><jats:italic>Conclusions\u2014<\/jats:italic><\/jats:bold>Carotid endarterectomy is a low-risk procedure for the treatment of carotid occlusive disease, with excellent long-term durability. Although less invasive, carotid angioplasty must demonstrate equal robustness in long-term follow-up before it is considered a routine alternative to surgery.<\/jats:p>","DOI":"10.1161\/01.str.0000098903.93992.49","type":"journal-article","created":{"date-parts":[[2003,11,18]],"date-time":"2003-11-18T01:13:25Z","timestamp":1069118005000},"page":"2941-2944","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":47,"title":["Durability of Carotid Endarterectomy"],"prefix":"10.1161","volume":"34","author":[{"given":"Robert D.","family":"Ecker","sequence":"first","affiliation":[{"name":"From the Departments of Neurosurgery (R.D.E., M.A.P., F.B.M.) and Neurology (I.M.), Mayo Clinic and Foundation, Rochester, Minn."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Pichelmann","sequence":"additional","affiliation":[{"name":"From the Departments of Neurosurgery (R.D.E., M.A.P., F.B.M.) and Neurology (I.M.), Mayo Clinic and Foundation, Rochester, Minn."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Meissner","sequence":"additional","affiliation":[{"name":"From the Departments of Neurosurgery (R.D.E., M.A.P., F.B.M.) and Neurology (I.M.), Mayo Clinic and Foundation, Rochester, Minn."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fredric B.","family":"Meyer","sequence":"additional","affiliation":[{"name":"From the Departments of Neurosurgery (R.D.E., M.A.P., F.B.M.) and Neurology (I.M.), Mayo Clinic and Foundation, Rochester, Minn."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_1_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199108153250701"},{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520420037035"},{"key":"e_1_3_1_3_2","unstructured":"Corrigan J Greiner A Erickson SE. 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