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A Survey With Ocular Pneumoplethysmography

Jeffrey E. Kremen, MD; William Gee, MD; Harry A. Kaupp, MD; Kenneth M. McDonald, MD

Arch Surg. 1979;114(5):608-610.

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)

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

Footnotes
Accepted for publication Nov 16, 1978.

Reprint requests to Department of Surgery, Allentown and Sacred Heart Hospital Center, 1200 S Cedar Crest Blvd, Allentown, PA 18105 (Dr Gee).

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