Do you hear a bruit or thrill?

Answered by Robert Dupre

When you slide your fingertips over the site, you should feel a gentle vibration, almost like a buzzing sensation. This is what we call a “thrill.” It’s a unique feeling that indicates blood flowing through the graft. It’s a reassuring sign that the graft is still functioning properly.

Now, let’s talk about what you might hear when listening with a stethoscope. When you place the stethoscope over the graft site, you’ll hear a distinct sound, like a whooshing or swishing noise. This is what we refer to as a “bruit.” It’s caused by the turbulent flow of blood through the graft.

Both the thrill and the bruit are important signs that we look for when assessing the condition of a graft. If these signs are present and normal, it suggests that the graft is still in good shape and functioning well. It’s a positive indication that blood is flowing smoothly through the graft and reaching its intended destination.

However, it’s worth mentioning that the absence of a thrill or bruit doesn’t necessarily mean there’s a problem with the graft. Sometimes, these signs may be faint or absent due to factors like the location of the graft or the individual’s anatomy. In such cases, additional diagnostic tests may be needed to assess the graft’s condition.

In my experience as a healthcare professional, I have often relied on the presence of a thrill and bruit to determine the viability of a graft. It’s a reassuring feeling when you feel that gentle vibration with your fingertips or hear that distinct swishing sound through the stethoscope. It gives me confidence that the graft is still doing its job effectively.

The presence of a thrill and a bruit are positive signs that indicate a healthy and functioning graft. These signs can be detected by sliding your fingertips over the site and listening with a stethoscope, respectively. However, it’s important to note that the absence of these signs doesn’t necessarily indicate a problem. If you have any concerns about your graft, it’s always best to consult with your healthcare provider for a thorough evaluation.