Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review

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 as...

Full description

Bibliographic Details
Main Authors: Magdalena Piegza, Gniewko Więckiewicz, Dawid Wierzba, Jacek Piegza
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/10/1307
_version_ 1797515165671882752
author Magdalena Piegza
Gniewko Więckiewicz
Dawid Wierzba
Jacek Piegza
author_facet Magdalena Piegza
Gniewko Więckiewicz
Dawid Wierzba
Jacek Piegza
author_sort Magdalena Piegza
collection DOAJ
description 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.
first_indexed 2024-03-10T06:41:40Z
format Article
id doaj.art-9df941d6c01a4fc98e01c0c15467b21f
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-10T06:41:40Z
publishDate 2021-10-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-9df941d6c01a4fc98e01c0c15467b21f2023-11-22T17:37:09ZengMDPI AGBrain Sciences2076-34252021-10-011110130710.3390/brainsci11101307Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative ReviewMagdalena Piegza0Gniewko Więckiewicz1Dawid Wierzba2Jacek Piegza3Department of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 42-612 Tarnowskie Góry, PolandDepartment of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 42-612 Tarnowskie Góry, PolandIndependent Public Heath Care Psychiatric Hospital, 44-180 Toszek, PolandThird Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 41-800 Zabrze, PolandCarotid 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.https://www.mdpi.com/2076-3425/11/10/1307carotid endarterectomycarotid artery stentingcognitive functions
spellingShingle Magdalena Piegza
Gniewko Więckiewicz
Dawid Wierzba
Jacek Piegza
Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review
Brain Sciences
carotid endarterectomy
carotid artery stenting
cognitive functions
title Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review
title_full Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review
title_fullStr Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review
title_full_unstemmed Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review
title_short Cognitive Functions in Patients after Carotid Artery Revascularization—A Narrative Review
title_sort cognitive functions in patients after carotid artery revascularization a narrative review
topic carotid endarterectomy
carotid artery stenting
cognitive functions
url https://www.mdpi.com/2076-3425/11/10/1307
work_keys_str_mv AT magdalenapiegza cognitivefunctionsinpatientsaftercarotidarteryrevascularizationanarrativereview
AT gniewkowieckiewicz cognitivefunctionsinpatientsaftercarotidarteryrevascularizationanarrativereview
AT dawidwierzba cognitivefunctionsinpatientsaftercarotidarteryrevascularizationanarrativereview
AT jacekpiegza cognitivefunctionsinpatientsaftercarotidarteryrevascularizationanarrativereview