[Management of carotid bruits].
The search for a carotid bruit should be routine in any examination of an atheromatous subject or of a subject at risk. However, clinical examination is not sufficient and the authors stress the importance of non-invasive investigations, in particular, the doppler which has become part of current practice. Once the diagnosis of a carotid lesion has been made, the management depends on three conditions: --An understanding of the pathophysiology or its embolic origin; --A good definition of the clinical symptoms: asymptomatic, transient ischaemic attacks, cerebral softening; --A good knowledge of the spontaneous risk and the operative risk.
D000368:Aged; D000792:Angiography; D000925:Anticoagulants / Q000627:therapeutic use; D001161:Arteriosclerosis / Q000175:diagnosis*; D001314:Auscultation; D002340:Carotid Artery Diseases / Q000175:diagnosis* / Q000628:therapy; D004691:Endarterectomy; D006801:Humans; D008875:Middle Aged; D014463:Ultrasonography
D000925:Anticoagulants
Conduite à tenir devant un souffle carotidien.