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Related Experiment Videos

The asymptomatic bruit.

P J Kanaly, M D Peyton, J P Cannon

    American Journal of Surgery
    |December 1, 1977
    PubMed
    Summary
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    Prophylactic carotid endarterectomy for asymptomatic carotid bruit is safe and effective. This procedure in carefully selected patients prevents future neurologic complications, with 100% of survivors remaining symptom-free long-term.

    Area of Science:

    • Vascular Surgery
    • Neurology
    • Preventive Medicine

    Background:

    • Asymptomatic midcervical bruit can indicate carotid artery disease.
    • The risk of neurologic events in these patients is a concern, especially before elective surgery.

    Purpose of the Study:

    • To evaluate the safety and long-term efficacy of prophylactic carotid endarterectomy in patients with asymptomatic carotid bruit.
    • To determine if this intervention prevents future neurologic complications.

    Main Methods:

    • A retrospective review of 144 carotid endarterectomies in 108 patients.
    • Procedures were performed prior to anticipated elective surgery.
    • Long-term follow-up was conducted on survivors.

    Main Results:

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    • Carotid endarterectomy demonstrated acceptable operative morbidity and mortality.
    • 100% of long-term survivors remained free of neurologic symptoms or fatalities.
    • No future neurologic complications were observed in the follow-up period.

    Conclusions:

    • Prophylactic carotid endarterectomy is a viable option for carefully selected patients with asymptomatic carotid bruit.
    • The procedure effectively prevents future neurologic complications.
    • This intervention improves long-term outcomes for patients undergoing elective surgery.