{"id":"https://openalex.org/W2019910068","doi":"https://doi.org/10.2176/nmc.34.86","title":"Strategies to Improve the Outcome of Carotid Endarterectomy","display_name":"Strategies to Improve the Outcome of Carotid Endarterectomy","publication_year":1994,"publication_date":"1994-01-01","ids":{"openalex":"https://openalex.org/W2019910068","doi":"https://doi.org/10.2176/nmc.34.86","mag":"2019910068","pmid":"https://pubmed.ncbi.nlm.nih.gov/7514762"},"language":"en","primary_location":{"id":"doi:10.2176/nmc.34.86","doi":"https://doi.org/10.2176/nmc.34.86","is_oa":true,"landing_page_url":"https://doi.org/10.2176/nmc.34.86","pdf_url":"https://www.jstage.jst.go.jp/article/nmc1959/34/2/34_2_86/_pdf","source":{"id":"https://openalex.org/S170822592","display_name":"Neurologia medico-chirurgica","issn_l":"0470-8105","issn":["0470-8105","1349-8029"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313358","host_organization_name":"Japan Neurological Society","host_organization_lineage":["https://openalex.org/P4310313358"],"host_organization_lineage_names":["Japan Neurological Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurologia medico-chirurgica","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.jstage.jst.go.jp/article/nmc1959/34/2/34_2_86/_pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112315550","display_name":"Shoichiro Kawaguchi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shoichiro KAWAGUCHI","raw_affiliation_strings":["Department of Neurosurgery, Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111412552","display_name":"Toshisuke Sakaki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toshisuke SAKAKI","raw_affiliation_strings":["Department of Neurosurgery, Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024909015","display_name":"Shigeru Tsunoda","orcid":"https://orcid.org/0000-0003-1468-7352","observed_orcids":["https://orcid.org/0000-0003-1468-7352"]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shigeru TSUNODA","raw_affiliation_strings":["Department of Neurosurgery, Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101443889","display_name":"Tetsuya Morimoto","orcid":"https://orcid.org/0000-0002-9761-7466","observed_orcids":["https://orcid.org/0000-0002-9761-7466"]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tetsuya MORIMOTO","raw_affiliation_strings":["Department of Neurosurgery, Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112301782","display_name":"Toru Hoshida","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toru HOSHIDA","raw_affiliation_strings":["Department of Neurosurgery, Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010412130","display_name":"Ken-ichiro HIRAMATSU","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I64926303","display_name":"Nara Medical University","ror":"https://ror.org/045ysha14","country_code":"JP","type":"education","lineage":["https://openalex.org/I64926303"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ken-ichiro HIRAMATSU","raw_affiliation_strings":["Department of Neurosurgery, Nara Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Nara Medical University","institution_ids":["https://openalex.org/I64926303"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036765694","display_name":"Hideaki Iwanaga","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108563","display_name":"Osaka Police Hospital","ror":"https://ror.org/015x7ap02","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210108563"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hideaki IWANAGA","raw_affiliation_strings":["Department of Neurosurgery, Osaka Police Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Osaka Police Hospital","institution_ids":["https://openalex.org/I4210108563"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5113968242","display_name":"Yuji NIKAIDO","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210121381","display_name":"Osaka Minami Medical Center","ror":"https://ror.org/02k3rdd90","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210121381","https://openalex.org/I4210137409"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yuji NIKAIDO","raw_affiliation_strings":["Department of Neurosurgery, Osaka Minami National Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Osaka Minami National Hospital","institution_ids":["https://openalex.org/I4210121381"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":10000,"currency":"JPY","value_usd":75},"apc_paid":null,"fwci":0.3017,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.5900677,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"34","issue":"2","first_page":"86","last_page":"90"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10926","display_name":"Peripheral Artery Disease Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/carotid-endarterectomy","display_name":"carotid endarterectomy","score":1.0},{"id":"https://openalex.org/keywords/internal-carotid-artery-stenosis","display_name":"internal carotid artery stenosis","score":0.8700000047683716},{"id":"https://openalex.org/keywords/ulceration","display_name":"ulceration","score":0.5329999923706055},{"id":"https://openalex.org/keywords/surgical-morbidity","display_name":"surgical morbidity","score":0.7289999723434448},{"id":"https://openalex.org/keywords/recurrent-carotid-stenosis","display_name":"recurrent carotid stenosis","score":0.8220000267028809},{"id":"https://openalex.org/keywords/middle-cerebral-artery-stenosis","display_name":"middle cerebral artery stenosis","score":0.8600000143051147},{"id":"https://openalex.org/keywords/transient-ischemic-attack","display_name":"transient ischemic attack","score":0.8830000162124634},{"id":"https://openalex.org/keywords/postoperative-outcomes","display_name":"postoperative outcomes","score":0.4519999921321869},{"id":"https://openalex.org/keywords/intracranial-hemorrhage","display_name":"intracranial hemorrhage","score":0.7549999952316284}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9617747068405151},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.7626903057098389},{"id":"https://openalex.org/C2781068581","wikidata":"https://www.wikidata.org/wiki/Q5045544","display_name":"Carotid endarterectomy","level":3,"score":0.7550113201141357},{"id":"https://openalex.org/C2778333808","wikidata":"https://www.wikidata.org/wiki/Q515848","display_name":"Internal carotid artery","level":2,"score":0.7224339246749878},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5997365117073059},{"id":"https://openalex.org/C2779745121","wikidata":"https://www.wikidata.org/wiki/Q81476","display_name":"Endarterectomy","level":3,"score":0.575478732585907},{"id":"https://openalex.org/C2776268601","wikidata":"https://www.wikidata.org/wiki/Q968808","display_name":"Occlusion","level":2,"score":0.5087631344795227},{"id":"https://openalex.org/C2776725920","wikidata":"https://www.wikidata.org/wiki/Q125276","display_name":"External carotid artery","level":3,"score":0.4618282616138458},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.460212379693985},{"id":"https://openalex.org/C2781064879","wikidata":"https://www.wikidata.org/wiki/Q214275","display_name":"Common carotid artery","level":3,"score":0.4194556772708893},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.39499515295028687},{"id":"https://openalex.org/C2987047532","wikidata":"https://www.wikidata.org/wiki/Q214275","display_name":"Carotid arteries","level":2,"score":0.3595152497291565},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3321927785873413}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002546","descriptor_name":"Ischemic Attack, Transient","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D002546","descriptor_name":"Ischemic Attack, Transient","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009460","descriptor_name":"Neurologic Examination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D016343","descriptor_name":"Monitoring, Intraoperative","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D016893","descriptor_name":"Carotid Stenosis","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D016893","descriptor_name":"Carotid Stenosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D016894","descriptor_name":"Endarterectomy, Carotid","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.2176/nmc.34.86","doi":"https://doi.org/10.2176/nmc.34.86","is_oa":true,"landing_page_url":"https://doi.org/10.2176/nmc.34.86","pdf_url":"https://www.jstage.jst.go.jp/article/nmc1959/34/2/34_2_86/_pdf","source":{"id":"https://openalex.org/S170822592","display_name":"Neurologia medico-chirurgica","issn_l":"0470-8105","issn":["0470-8105","1349-8029"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313358","host_organization_name":"Japan Neurological Society","host_organization_lineage":["https://openalex.org/P4310313358"],"host_organization_lineage_names":["Japan Neurological Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurologia medico-chirurgica","raw_type":"journal-article"},{"id":"pmid:7514762","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/7514762","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurologia medico-chirurgica","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.2176/nmc.34.86","doi":"https://doi.org/10.2176/nmc.34.86","is_oa":true,"landing_page_url":"https://doi.org/10.2176/nmc.34.86","pdf_url":"https://www.jstage.jst.go.jp/article/nmc1959/34/2/34_2_86/_pdf","source":{"id":"https://openalex.org/S170822592","display_name":"Neurologia medico-chirurgica","issn_l":"0470-8105","issn":["0470-8105","1349-8029"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310313358","host_organization_name":"Japan Neurological Society","host_organization_lineage":["https://openalex.org/P4310313358"],"host_organization_lineage_names":["Japan Neurological Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurologia medico-chirurgica","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2019910068.pdf","grobid_xml":"https://content.openalex.org/works/W2019910068.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W7979773","https://openalex.org/W95375040","https://openalex.org/W201034013","https://openalex.org/W1969515542","https://openalex.org/W1972165634","https://openalex.org/W1980547914","https://openalex.org/W1994733161","https://openalex.org/W2001499440","https://openalex.org/W2012377248","https://openalex.org/W2049501641","https://openalex.org/W2072186436","https://openalex.org/W2072846792","https://openalex.org/W2077055128","https://openalex.org/W2120337140","https://openalex.org/W2160788168","https://openalex.org/W2315739577","https://openalex.org/W2410463147","https://openalex.org/W2620635563","https://openalex.org/W2767911074","https://openalex.org/W7116863164"],"related_works":["https://openalex.org/W1691822979","https://openalex.org/W43162574","https://openalex.org/W2423044597","https://openalex.org/W1485841385","https://openalex.org/W2366472072","https://openalex.org/W1960359021","https://openalex.org/W2157575399","https://openalex.org/W2378218882","https://openalex.org/W2125721953","https://openalex.org/W1987205591"],"abstract_inverted_index":{"The":[0,24,45,60],"outcomes":[1,61],"of":[2,21,120,144,154,160],"carotid":[3,27,123],"endarterectomy":[4],"(CEA)":[5],"including":[6],"long-term":[7],"results":[8,141],"in":[9,35,43,51,58,69,74,78,82],"121":[10],"patients":[11,37,53,85,93],"(126":[12],"procedures)":[13],"were":[14,66],"retrospectively":[15],"analyzed":[16],"to":[17,104,167],"identify":[18],"the":[19,100,114,121,130,134,149,155],"causes":[20],"operative":[22,87,101],"morbidity.":[23],"angiographic":[25],"internal":[26],"artery":[28,107,124,135],"(ICA)":[29],"stenosis":[30,108,118],"was":[31,48,136],"severe":[32],"(>":[33],"70%)":[34],"62":[36],"and":[38,54,80,116,125,158,164],"moderate":[39],"(50-70%)":[40],"with":[41,55],"ulceration":[42],"64.":[44],"arterial":[46,150],"wall":[47,151],"sutured":[49],"primarily":[50,137],"91":[52],"patch":[56,145],"graft":[57,147],"35.":[59],"3":[62],"months":[63],"after":[64],"operation":[65],"good":[67],"recovery":[68],"86":[70],"patients,":[71],"moderately":[72],"disabled":[73,77],"20,":[75],"severely":[76],"11,":[79],"death":[81],"four.":[83],"Three":[84],"suffered":[86,95],"morbidity":[88],"(2.5%).":[89],"During":[90],"follow-up,":[91],"three":[92],"(2.6%)":[94],"transient":[96],"ischemic":[97,162],"attack":[98],"on":[99],"side":[102],"due":[103,166],"middle":[105],"cerebral":[106],"(50%)":[109],"or":[110],"ICA":[111,126],"occlusion":[112],"at":[113],"origin,":[115],"recurrent":[117],"(40%)":[119],"common":[122],"(1":[127],"each).":[128],"In":[129],"latter":[131],"two":[132],"cases,":[133],"sutured.":[138],"Improved":[139],"therapeutic":[140],"require":[142],"use":[143],"vein":[146],"for":[148],"suture,":[152],"checking":[153],"CEA":[156],"patency,":[157],"prevention":[159],"intracranial":[161],"events":[163],"hemorrhage":[165],"associated":[168],"lesions.":[169]},"counts_by_year":[{"year":2019,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
