{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T19:24:44Z","timestamp":1766690684367},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[1988,11]]},"abstract":"<jats:p>Since 1971, 688 consecutive carotid endarterectomies were performed in 612 patients in a community-based teaching hospital by 16 surgeons; 82% of the procedures were performed in patients who had suffered a transient ischemic attack, amaurosis fugax, or a previous stroke. Seven patients (1%) died, five of perioperative stroke and two of myocardial infarction. Thirty-one patients suffered a perioperative stroke (4.5% of the 688 endarterectomies); 20 patients (2.9% of 688) were left with moderate to severe neurologic deficits. The combined mortality\/major neurologic deficit morbidity rate (number of patients divided by number of endarterectomies) is 3.2%. Both operative mortality and morbidity have progressively declined in successive 5-year periods, with no deaths and a 2.7% stroke rate in 148 endarterectomies performed after 1984. Our results indicate that carotid endarterectomy as practiced in a community-based teaching hospital can be performed without excessive risk.<\/jats:p>","DOI":"10.1161\/01.str.19.11.1323","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"1323-1327","update-policy":"http:\/\/dx.doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Carotid endarterectomy. Clinical results in a community-based teaching hospital."],"prefix":"10.1161","volume":"19","author":[{"given":"P","family":"Friedmann","sequence":"first","affiliation":[{"name":"Department of Surgery, Baystate Medical Center, Springfield University School of Medicine, Boston, Massachusetts 01199."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J L","family":"Garb","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baystate Medical Center, Springfield University School of Medicine, Boston, Massachusetts 01199."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Berman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baystate Medical Center, Springfield University School of Medicine, Boston, Massachusetts 01199."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baystate Medical Center, Springfield University School of Medicine, Boston, Massachusetts 01199."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Celoria","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baystate Medical Center, Springfield University School of Medicine, Boston, Massachusetts 01199."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S W","family":"Rhee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Baystate Medical Center, Springfield University School of Medicine, Boston, Massachusetts 01199."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/01.STR.19.11.1323","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T21:40:07Z","timestamp":1715550007000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.STR.19.11.1323"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,11]]},"references-count":0,"journal-issue":{"issue":"11","published-print":{"date-parts":[[1988,11]]}},"alternative-id":["10.1161\/01.STR.19.11.1323"],"URL":"https:\/\/doi.org\/10.1161\/01.str.19.11.1323","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,11]]},"assertion":[{"value":"1988-11-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}