Carotid Bruit and Risk of Stroke in Elective Surgery

Robert G. Hart, J. Donald Easton, Bruce A. Perler, A. Jarrele Raper, Edward J. Dunn, Allan H. Ropper, Lawrence R. Wechsler, Lennard S. Wilson

Research output: Contribution to journalLetterpeer-review

1 Scopus citations


To the Editor:& Assuming that a subset of perioperative patients with a high rate of perioperative stroke is identifiable, there is no clear evidence that prophylactic extirpation of a cervical carotid stenosis would reduce the rate. It is a hypothesis that perioperative stroke is mediated by carotid occlusive disease potentiated by intraoperative hypotension. Most perioperative strokes have their onset postoperatively or occur in the absence of carotid occlusive disease.1,2 There are fewer data available concerning the risk of perioperative stroke in elective-surgery patients with high-grade carotid stenosis defined arteriographically or by reliable noninvasive studies. Would Dr. Ropper and his.

Original languageEnglish (US)
Pages (from-to)1420-1421
Number of pages2
JournalNew England Journal of Medicine
Issue number23
StatePublished - Jun 9 1983

ASJC Scopus subject areas

  • Medicine(all)


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