In theory with proper coolant used and minimal deposits the original unit should continue to work fine in the absence of any leaks. That said it's very old so it's likely there are deposits affecting flow some amount....but if it's not leaking and you're not noticing any temp spikes (measured with mechanical gauge or thermal gun...not just temp gauge on the dash).
I replaced mine with a CSF unit and kept the old one. The CSF unit has worked fine up steep grades. You can re-core the OEM ones. They seem well built enough that it's probably worth it.