Cognitive Functions after Carotid Artery Stenting—1-Year Follow-Up Study

Background: The revascularization of carotid arteries minimizes the risk of future cerebral stroke and usually improves cognitive functions. The aim of this study was to assess changes in cognitive function and verify the hypothesis assuming an improvement of selected cognitive functions—psychomotor...

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Main Authors: Magdalena Piegza, Izabela Jaworska, Jacek Piegza, Kamil Bujak, Paweł Dębski, Aleksandra Leksowska, Piotr Gorczyca, Mariusz Gąsior, Robert Pudlo
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/11/3019
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author Magdalena Piegza
Izabela Jaworska
Jacek Piegza
Kamil Bujak
Paweł Dębski
Aleksandra Leksowska
Piotr Gorczyca
Mariusz Gąsior
Robert Pudlo
author_facet Magdalena Piegza
Izabela Jaworska
Jacek Piegza
Kamil Bujak
Paweł Dębski
Aleksandra Leksowska
Piotr Gorczyca
Mariusz Gąsior
Robert Pudlo
author_sort Magdalena Piegza
collection DOAJ
description Background: The revascularization of carotid arteries minimizes the risk of future cerebral stroke and usually improves cognitive functions. The aim of this study was to assess changes in cognitive function and verify the hypothesis assuming an improvement of selected cognitive functions—psychomotor speed, visuospatial episodic memory, executive function and verbal fluency—in patients after carotid artery stenting during a 12-month follow-up. Methods: 47 persons subject to CAS, including 13 symptomatic persons, were examined before and 12 months after a procedure with a psychological test battery (digit symbol test—DS, Rey–Osterrieth complex figure test—ROCF, Wisconsin Card Sorting Test—WCST, letter verbal fluency—LVF). Sociodemographic data and clinical parameters were acquired from an author questionnaire. Results: The one-year follow-up, after the performed CAS procedure, demonstrated a significant improvement of psychomotor speed, visuospatial episodic memory, and executive function. No changes in the area of verbal fluency or decline in any of cognitive functions under analysis were observed. Conclusions: Carotid artery stenting improves cognitive functioning, both in the area of basic and more complex cognitive functions in persons with carotid atherosclerosis.
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spelling doaj.art-55f5f220b4a94f14ba5cb684368609712023-11-23T14:15:27ZengMDPI AGJournal of Clinical Medicine2077-03832022-05-011111301910.3390/jcm11113019Cognitive Functions after Carotid Artery Stenting—1-Year Follow-Up StudyMagdalena Piegza0Izabela Jaworska1Jacek Piegza2Kamil Bujak3Paweł Dębski4Aleksandra Leksowska5Piotr Gorczyca6Mariusz Gąsior7Robert Pudlo8Department of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 42-612 Tarnowskie Gory, PolandDepartment of Cardiac, Vascular and Endovascular Surgery and Transplantology, Silesian Center for Heart Diseases, Medical University of Silesia in Katowice, 41-800 Zabrze, PolandThird Department of Cardiology, Faculty of Medical Sciences in Zabrze, Silesian Center for Heart Diseases, Medical University of Silesia in Katowice, 41-800 Zabrze, PolandThird Department of Cardiology, Faculty of Medical Sciences in Zabrze, Silesian Center for Heart Diseases, Medical University of Silesia in Katowice, 41-800 Zabrze, PolandDepartment of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 42-612 Tarnowskie Gory, PolandDepartment of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 42-612 Tarnowskie Gory, PolandDepartment of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 42-612 Tarnowskie Gory, PolandThird Department of Cardiology, Faculty of Medical Sciences in Zabrze, Silesian Center for Heart Diseases, Medical University of Silesia in Katowice, 41-800 Zabrze, PolandDepartment of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 42-612 Tarnowskie Gory, PolandBackground: The revascularization of carotid arteries minimizes the risk of future cerebral stroke and usually improves cognitive functions. The aim of this study was to assess changes in cognitive function and verify the hypothesis assuming an improvement of selected cognitive functions—psychomotor speed, visuospatial episodic memory, executive function and verbal fluency—in patients after carotid artery stenting during a 12-month follow-up. Methods: 47 persons subject to CAS, including 13 symptomatic persons, were examined before and 12 months after a procedure with a psychological test battery (digit symbol test—DS, Rey–Osterrieth complex figure test—ROCF, Wisconsin Card Sorting Test—WCST, letter verbal fluency—LVF). Sociodemographic data and clinical parameters were acquired from an author questionnaire. Results: The one-year follow-up, after the performed CAS procedure, demonstrated a significant improvement of psychomotor speed, visuospatial episodic memory, and executive function. No changes in the area of verbal fluency or decline in any of cognitive functions under analysis were observed. Conclusions: Carotid artery stenting improves cognitive functioning, both in the area of basic and more complex cognitive functions in persons with carotid atherosclerosis.https://www.mdpi.com/2077-0383/11/11/3019cognitive functionscarotid artery stentingcarotid artery stenosisasymptomatic carotid stenosiscognitive impairment
spellingShingle Magdalena Piegza
Izabela Jaworska
Jacek Piegza
Kamil Bujak
Paweł Dębski
Aleksandra Leksowska
Piotr Gorczyca
Mariusz Gąsior
Robert Pudlo
Cognitive Functions after Carotid Artery Stenting—1-Year Follow-Up Study
Journal of Clinical Medicine
cognitive functions
carotid artery stenting
carotid artery stenosis
asymptomatic carotid stenosis
cognitive impairment
title Cognitive Functions after Carotid Artery Stenting—1-Year Follow-Up Study
title_full Cognitive Functions after Carotid Artery Stenting—1-Year Follow-Up Study
title_fullStr Cognitive Functions after Carotid Artery Stenting—1-Year Follow-Up Study
title_full_unstemmed Cognitive Functions after Carotid Artery Stenting—1-Year Follow-Up Study
title_short Cognitive Functions after Carotid Artery Stenting—1-Year Follow-Up Study
title_sort cognitive functions after carotid artery stenting 1 year follow up study
topic cognitive functions
carotid artery stenting
carotid artery stenosis
asymptomatic carotid stenosis
cognitive impairment
url https://www.mdpi.com/2077-0383/11/11/3019
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AT kamilbujak cognitivefunctionsaftercarotidarterystenting1yearfollowupstudy
AT pawełdebski cognitivefunctionsaftercarotidarterystenting1yearfollowupstudy
AT aleksandraleksowska cognitivefunctionsaftercarotidarterystenting1yearfollowupstudy
AT piotrgorczyca cognitivefunctionsaftercarotidarterystenting1yearfollowupstudy
AT mariuszgasior cognitivefunctionsaftercarotidarterystenting1yearfollowupstudy
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