Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review
1
Department of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 42-612 Tarnowskie Góry, Poland
2
Independent Public Heath Care Psychiatric Hospital, 44-180 Toszek, Poland
3
Third Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 41-800 Zabrze, Poland
*
Author to whom correspondence should be addressed.
Academic Editor: Stefano Barlati
Brain Sci. 2021, 11(10), 1307; https://doi.org/10.3390/brainsci11101307
Received: 9 August 2021
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Revised: 12 September 2021
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Accepted: 29 September 2021
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Published: 1 October 2021
(This article belongs to the Section Neuropsychology)
Carotid revascularization may lead to improved cognitive function beyond stroke prevention. This article summarizes the conclusions from available studies on the effects of carotid reperfusion procedures on cognitive function. The papers cited used different neuropsychological tests for cognitive assessment, resulting in different methodologies and the results obtained were not always convergent. However, most studies reported an improvement in neurocognitive abilities after both vascular interventions, but a more precise assessment of the specific benefits is still awaited. Clinical determinants to predict the effects of these treatments on cognitive function are still being sought, but results are not yet satisfactory. In view of these studies, carotid stenosis seems to be an independent risk factor for cognitive deterioration, and the main mechanisms responsible are embolism and cerebral hypoperfusion. The aim of this study is to order the knowledge about the effects of carotid artery stenting (CAS) and endarterectomy (CEA) on neurocognitive functions and to verify the usefulness of using these treatments.
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MDPI and ACS Style
Piegza, M.; Więckiewicz, G.; Wierzba, D.; Piegza, J. Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review. Brain Sci. 2021, 11, 1307. https://doi.org/10.3390/brainsci11101307
AMA Style
Piegza M, Więckiewicz G, Wierzba D, Piegza J. Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review. Brain Sciences. 2021; 11(10):1307. https://doi.org/10.3390/brainsci11101307
Chicago/Turabian StylePiegza, Magdalena, Gniewko Więckiewicz, Dawid Wierzba, and Jacek Piegza. 2021. "Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review" Brain Sciences 11, no. 10: 1307. https://doi.org/10.3390/brainsci11101307
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