Association of the Recovery of Objective Abnormal Cerebral Perfusion With Neurocognitive Improvement After Carotid Revascularization

Abstract

Successful CS for severe carotid stenosis/occlusion improves NCF, but only in patients with objective baseline abnormal cerebral perfusion.

Prospective comparison of cognitive effects of carotid endarterectomy versus carotid stenting with flow reversal or distal filters

“…It appears that carotid revascularization is beneficial for some patients while others do not seem to benefit from it in the long term. Previous research showed that the cognitive improvements that small groups of patients gain from revascularization seem associated with the recovery of abnormal cerebral perfusion (Huang et al, 2013;Yamashita et al, 2012). Cognitive deterioration has, on the contrary, been linked to postoperative hyperperfusion (Chida et al, 2009;Hirooka et al, 2008).…”

Perfusion criteria of the EICMA efficacy in patients with symptomatic occlusion of the internal carotid artery

“…В литературе [18,[20][21][22] документированы слу-чаи регресса неврологического дефицита и улучше-ния реабилитационного прогноза после восстанов-ления мозгового кровотока в функционально зна-чимых областях головного мозга. Значительную роль при этом может играть хирургическая реваску-ляризация головного мозга, приводящая к восста-новлению параметров церебральной перфузии в от-даленном послеоперационном периоде (более 6 мес после операции) [23].…”

Carotid Artery Stenting Ameliorates the Cognitive Impairment in Patients with Leukoaraiosis, the Ischemic Change of Cerebral White Matter

“…Neuropsychological abnormalities are closely associated with LA disease (Grau-Olivares et al 2007). Thus, CAS may improve neuropsychological abnormalities of LA patients by carotid revascularization (Huang et al 2013).…”