A 73-year-old female takes warfarin (Coumadin) to prevent a thrombus

2. Inpatient admission: The patient was admitted for workup of right carotid artery stenosis. A carotid duplex performed as an outpatient procedure at another facility showed 80 percent stenosis on the right side and 40 percent on the left. A nonselective low osmolar carotid arteriography of the internal and external carotid arteries bilaterally, conducted the day after admission, showed only a 50 percent stenosis of the right common carotid artery. The external carotids were found to be small, but there was no significant internal carotid disease on either side. Therefore, because the patient was asymptomatic, it was felt that surgery would present a higher risk of stroke than treating her medically.

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