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Cognitive Performance following Carotid Endarterectomy or Stenting in Asymptomatic Patients with Severe ICA Stenosis
Joint Authors
Cacciari, Claudia
Spalletta, Gianfranco
Taurino, Maurizio
Sette, Giuliano
Rasura, Maurizia
Carlo, Caltagirone
Orzi, Francesco
Fantozzi, Cristiano
Casolla, Barbara
Ciuffoli, Alessandro
Cavallari, Michele
Imperiale, Francesca
Picchetto, Livio
Source
Cardiovascular Psychiatry and Neurology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-21
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Endarterectomy (CEA) or stenting (CAS) of a stenotic carotid artery is currently undertaken to reduce stroke risk.
In addition removal of the arterial narrowing has been hypothesized to improve cerebral hemodynamics and provide benefits in cognitive functions, by supposedly resolving a “hypoperfusion” condition.
Methods.
In this study we sought to test whether resolution of a carotid stenosis is followed by measurable changes in cognitive functions in 22 subjects with “asymptomatic” stenosis.
Results.
A main finding of the study was the statistically significant pre-post difference observed in the performance of phonological verbal fluency and Rey’s 15-word immediate recall.
Remarkably, there was a significant interaction between phonological verbal fluency performance and side of the carotid intervention, as the improvement in the verbal performance, a typical “lateralized” skill, was associated with resolution of the left carotid stenosis.
Conclusion.
The results reflect a substantial equivalence of the overall performance at the before- and after- CEA or CAS tests.
In two domains, however, the postintervention performance resulted improved.
The findings support the hypothesis that recanalization of a stenotic carotid could improve brain functions by resolving hypothetical “hypoperfusion” states, associated with the narrowing of the vessels.
American Psychological Association (APA)
Picchetto, Livio& Spalletta, Gianfranco& Casolla, Barbara& Cacciari, Claudia& Cavallari, Michele& Fantozzi, Cristiano…[et al.]. 2013. Cognitive Performance following Carotid Endarterectomy or Stenting in Asymptomatic Patients with Severe ICA Stenosis. Cardiovascular Psychiatry and Neurology،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-464329
Modern Language Association (MLA)
Picchetto, Livio…[et al.]. Cognitive Performance following Carotid Endarterectomy or Stenting in Asymptomatic Patients with Severe ICA Stenosis. Cardiovascular Psychiatry and Neurology No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-464329
American Medical Association (AMA)
Picchetto, Livio& Spalletta, Gianfranco& Casolla, Barbara& Cacciari, Claudia& Cavallari, Michele& Fantozzi, Cristiano…[et al.]. Cognitive Performance following Carotid Endarterectomy or Stenting in Asymptomatic Patients with Severe ICA Stenosis. Cardiovascular Psychiatry and Neurology. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-464329
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464329