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Carotid Recurrent Stenosis and Risk of Ipsilateral Stroke, A Systematic Review of the Lit Stroke 29:244-250, Frericks,H.,et al, 1998 See this aricle in Pubmed Article Abstract Incidence of recurrent stenosis:The data were very heterogeneous.The risk of recurrent stenosis was 10%in the first year,3%in the second,and 2%in the third.Long-term risk of recurrent stenosis is about 1%per year.Risk of stroke:The reported relatively risks of stroke in patients with recurrent stenosis compared with patients without recurrent stenosis showed extreme heterogeneity and ranged from 10 to 0.10.The random effects summary estimator of relative risk was 1.88.The data were very heterogeneous,and much better data are needed to arrive at truly reliable estimates of these important parameters of followup.It is clear,though,that the risk of recurrent stenosis is highest in the first few years after carotid endarterectomy and very low in the later years.By use of general decision- analytic arguments,it can be argued that,given the test characteristics of carotid ultra-sound,a small number of tests can be done in the first few years and that testing for restenosis should not be done after 4 years.

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(click to filter results - removes previous filter) carotid artery carotid artery disease carotid artery disease,noninvasive evaluation of carotid artery stenosis carotid artery stenosis,recurrent cerebrovascular accident cost effectiveness efficacy endarterectomy,carotid endarterectomy,carotid-long term results review article ultrasonography ultrasonography,carotid artery

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