Carotid bruit are discovered incidentally in an otherwise asymptomatic patient. The presence of a carotid bruit alone does not necessarily indicate the presence of stenosis, and the physical examination cannot be used to estimate the degree of stenosis, if present; therefore, any bruit must be evaluated by ultrasound or imaging. Bruit is traditionally pronounced "broot", rhyming with "boot", although the etymologically accurate pronunciation "bru´e" or "bru-e´" is common in North American medical parlance. In addition, while "bruit" and "murmur" are technically synonymous, the term "bruit" is generally reserved for arterial sounds in North America. Carotid bruit A carotid bruit is a vascular
Carotid stenting trial. This trial showed no difference between carotid stenting and carotid surgery in average risk patients. Most recently, a broad consensus of experts released a guideline document suggesting that in most cases, carotid stenting may be considered an alternative therapy to surgery. Carotid stenting can be performed under general or local anesthesia. Critical steps in the procedure are vascular access, crossing the stenosis with a wire, deploying a stent across the lesion, and removing the vascular access. A number of other steps may or may not be performed, including the use of a cerebral protection device, pre- or post-stent balloon