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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

Author Affiliations

From the Department of Surgery, Hartford (Conn) Hospital, and the Department of Surgery, University of Connecticut School of Medicine, Farmington.

Arch Surg. 1987;122(8):893-896. doi:10.1001/archsurg.1987.01400200043006

• 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)