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

Piegza, Magdalena; Jaworska, Izabela; Piegza, Jacek; Bujak, Kamil; Dębski, Paweł; Leksowska, Aleksandra; Gorczyca, Piotr; Gąsior, Mariusz; Pudło, Robert

doi:10.3390/jcm11113019

Cited by 3 publications

(2 citation statements)

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“…The results of a previously published study showed improvements in the following cognitive functions: psychomotor speed, visuospatial episodic memory and executive function in patients 1 year after CAS. Importantly, we failed to observe a decline in any of the analyzed cognitive abilities after CAS at 1-year follow-up ( 23 ). Similar conclusions are also reached by other researchers ( 24 – 31 ), who take the position that carotid artery stenting improves cognitive functioning in both basic and more complex cognitive functions in people with carotid atherosclerosis.…”

Section: Discussionmentioning

confidence: 90%

Cognitive functions and sense of coherence in patients with carotid artery stenosis—Preliminary report

Piegza,

Dębski,

Bujak

et al. 2023

Front. Psychiatry

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BackgroundThere is scarcely any data in the available literature on the relationship between sense of coherence (SOC) and cognitive functioning, and no information on the relationship between SOC and cognitive parameters in patients with carotid atherosclerosis.AimThe aim of this paper was to determine the relationship of SOC measured prior to carotid artery stenting (CAS) with neurocognitive functioning in patients with carotid atherosclerosis 12 months after CAS.MethodsA total of 35 patients with carotid atherosclerosis completed the SOC-29 Orientation to Life Questionnaire (SOC-29) and completed a cognitive test battery twice, i.e., before (baseline–T1) and 12 months after stent implantation (follow-up–T2). Selected cognitive functions such as memory, attention, perception, visuospatial and executive functions and non-verbal fluency were assessed.ResultsOne year after the procedure, patients with a higher SOC and sense of manageability present better performance in visual memory. Higher SOC and sense of meaningfulness are positively related to the speed of understanding the changing rules of card sorting (WCST).ConclusionHigher overall SOC and a component of sense of meaningfulness and manageability may be related to better cognitive functioning 1 year after the procedure.

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Section: Discussionmentioning

confidence: 90%

Cognitive functions and sense of coherence in patients with carotid artery stenosis—Preliminary report

Piegza,

Dębski,

Bujak

et al. 2023

Front. Psychiatry

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“…Studies show that the benefit of CAS does not only rely on reducing the risk of stroke, it also improves the cognitive function of the brain, as shown in Figure 3 [ 86 , 87 ]. In a study including 47 patients to assess the psychomotor speed, visuospatial episodic memory, executive function, and verbal fluency of patients, all of the aspects except verbal fluency have shown improvement [ 88 ]. Furthermore, in a study including 31 patients, the patients showed improvements in attention, memory, visuospatial, and language.…”

Section: Reviewmentioning

confidence: 99%

Medical and Surgical Management of Symptomatic and Asymptomatic Carotid Artery Stenosis: A Comprehensive Literature Review

Mohd,

Alabdallat,

Mohd

et al. 2023

Cureus

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Carotid artery stenosis is a condition where the carotid artery is blocked by fatty cholesterol deposits called plaque, increasing the risk of stroke. Elderly individuals with high cardiovascular risk are more susceptible, along with smokers, those with high cholesterol, males, and older individuals. Young females may also be affected by fibromuscular dysplasia. Carotid stenosis significantly raises stroke risk, and the severity is closely linked to stroke incidence and other cardiovascular events. Early detection and treatment are essential to prevent complications. Treatment options include medical and surgical interventions, such as carotid endarterectomy (CEA) and carotid artery stenting (CAS). The choice between surgery and medical management varies depending on patient characteristics and risk factors. This review explores carotid artery stenosis pathophysiology, risk factors, the importance of early detection and treatment, and the surgical approaches of CEA and CAS, addressing their roles and controversies. Healthcare professionals must understand these aspects to provide optimal care to patients with this condition.

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Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review

Riccietti,

Schiavolin,

Caldiera

et al. 2023

AJNR Am J Neuroradiol

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BACKGROUND: Interventional neuroradiology is a relatively recent discipline that diagnoses and treats cerebral vascular diseases. However, specific literature on cognitive and psychological domains of patients undergoing interventional neuroradiology procedures is limited. PURPOSE: Our aim was to review the existent literature on cognitive and psychological domains in patients undergoing interventional neuroradiology procedures to raise clinicians' awareness of their mental status.DATA SOURCES: Articles were searched in PubMed, EMBASE, and Scopus from 2000 to 2022 using terms such as "interventional neuroradiology," "psychology," and "cognition" according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.STUDY SELECTION: Of 1483 articles in English, 64 were included and analyzed. Twelve focused on psychological aspects; 52, on cognitive ones.DATA ANALYSIS: Regarding psychological aspects, it appears that early psychological consultations and "nonpharmacologic" strategies can impact the anxiety and depression of patients undergoing endovascular procedures. Regarding cognitive aspects, it appears that endovascular treatment is safe and generates similar or even fewer cognitive deficits compared with analogous surgical procedures.DATA SYNTHESIS: Among the 12 articles on psychological aspects, 6/12 were retrospective with one, while 6/12 were prospective. Among the 52 articles on cognitive aspects, 7/54 were retrospective, while 45/52 were prospective. LIMITATIONS:The main limitation derives from the inhomogeneity of the cognitive and psychological assessment tools used in the articles included in our analysis. CONCLUSIONS:Our review highlights the need to include cognitive and psychological assessments in clinical practice in case patients eligible for interventional neuroradiology procedures. In the future, much more research of and attention to cognitive and psychologic aspects of neurovascular disease is needed. Systematic incorporation of strategies and tools to access and address pre, peri-, and postprocedural psychological and cognitive components could have major benefits in patient satisfaction, recovery, and the success of endovascular practice.ABBREVIATIONS: CAS ¼ carotid artery stent placement; DAVF ¼ dural arteriovenous fistula; EC ¼ endovascular coiling; INR ¼ interventional neuroradiology; QoL ¼ quality of life; RCT ¼ randomized control trial; RIA ¼ ruptured intracranial aneurysm; SC ¼ surgical clipping; UIA ¼ unruptured intracranial aneurysm

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

Cited by 3 publications

References 47 publications

Cognitive functions and sense of coherence in patients with carotid artery stenosis—Preliminary report

Cognitive functions and sense of coherence in patients with carotid artery stenosis—Preliminary report

Medical and Surgical Management of Symptomatic and Asymptomatic Carotid Artery Stenosis: A Comprehensive Literature Review

Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review

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