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Are diffuse bruits a sign of internal carotid artery disease?
Diffuse bruits are not a very specifi c indicator of internal carotid artery disease. Bruits heard only at the bifurcation are more specifi c for internal carotid artery origin stenosis, but lack sensitivity. Un- fortunately bruits at this location can also arise from disease of the external carotid artery. See Table 2.

What causes a carotid bruit?
So, we need to review: how bruits arise, how to identify arterial bruits, to identify which noises in the neck matter, and what to do once you fi nd an arterial bruit. Carotid bruits generally result from turbulent, non-laminar fl ow through a stenotic lesion, which causes arterial wall vibrations distal to the stenosis.

Can a focal carotid bruit cause high-grade stenosis?
The collaborators of the North American Symptomatic Carotid Endarterectomy Trial (NASCET) found that a focal carotid bruit had a sensitivity of 63% and a specifi city of 61% for high-grade stenosis (Sauve et al. 1994). In such patients when bruits were absent, this only low- ered the probability for high-grade stenosis from

Are asymptomatic people with cervical arterial bruits at risk of stroke?
Heyman A, Wilkinson WE, Heyden S, et al: Risk of stroke inasymptomatic persons with cervical arterial bruits: A populationstudy in Evans County, Georgia. N Engl J Med 302: 838-841,1980 RoedererGO, Langlois YE, JagerKA, etal: The natural history ofcarotid arterial disease in asymptomatic patients with cervicalbruits.

[PDF File]The carotid bruit - Practical Neurology
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AUGUST 2002 221 221 The carotid bruit clarify whether an event was vascular or not, identify the cause as likely to be due to athero- matous stenosis, and the possibility that the stenosis may be severe enough to justify carotid endarterectomy. However, not all noises in the neck indicate serious arterial disease.

[PDF File]Assessment and management of peripheral arterial disease ...
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Jun 23, 2021 ·

2017 AHA/ACC/HRS Guideline for Management of Patients With ...
The classic description of claudication is a cramp in a muscle group causing an alteration in gait that occurs at a reproduc- ible distance when walking on a level surface and is relieved quickly and consistently by rest. The distal extremity usually becomes symptomatic before the proximal extremity does.

Peripheral Artery Disease - AHA/ASA Journals
Peripheral artery disease (PAD) typically refers to atherosclerotic narrowing and/or occlusion of all arterial disease other than coronary arteries and the aorta (carotid and vertebral arteries, coeliac and mesenteric arteries, renal arteries and upper and lower limb arteries) (figure 1).

[PDF File]PROCEDURE Femoral Arterial and Venous Sheath Removal - Elsevier
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The natural history of a carotid artery bruit and the implications of treatment, therefore, become of critical importance. It is obviously not the bruit that results in the stroke but the underlying pathology, resulting ei-ther in decrease of the effective blood flow to the brain or more likely artery to artery embolization.16 Thus,

Cardiac bruit treatment