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August 1987, Vol 122, No. 8 >
PAPERS READ BEFORE THE 13TH ANNUAL MEETING OF THE NEW ENGLAND SOCIETY FOR VASCULAR SURGERY DIXVILLE NOTCH, NH, SEPT 25 TO SEPT 26, 1986 | August 1987

Recent Experience With the Asymptomatic Cervical Bruit

Magruder C. Donaldson, MD; Charlotte Sabine, RN, RVT; Abdo T. Showah, MD; Charles A. Bucknam, MD
Arch Surg. 1987;122(8):893-896. doi:10.1001/archsurg.1987.01400200043006.
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• To document our recent experience with asymptomatic cervical bruit, we reviewed the records of 418 patients referred to the noninvasive vascular laboratory. Mean follow-up of 23.7 months was obtained for 370 patients by record review or telephone. In a group of 313 patients not operated on, transient ischemic attacks occurred in 14 and stroke in seven (6.7%). The risk of neurologic morbidity was highest in patients with advanced carotid stenosis. Carotid endarterectomy was performed 62 times in 57 patients, with one stroke (1.6%). If carotid endarterectomy is performed with low morbidity, identification of selected surgical candidates with advanced carotid stenosis is reasonable.

(Arch Surg 1987;122:893-896)

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