Neuropsychological and psychiatric outcomes following coronary surgery or angioplasty: A comparative study

Sader, Mark; Miller, Laurie A.; Caine, Diana; McCredie, Robyn J.; Corr, Melissa J; Robertson, Michael; Watson, J. D. G.; Celermajer, David S.

doi:10.1046/j.1444-2892.2002.00127.x

Cited by 4 publications

(3 citation statements)

References 43 publications

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“…Although the advantages of PTA over CEA include shorter hospital stays, use of local anesthetics and lower risk of surgical trauma, the medical outcomes are comparable [37]. Thus, any significant differences in long-term cognitive functioning could influence therapeutic decision making.…”

Section: Discussionmentioning

confidence: 99%

Neuropsychological Sequelae of Carotid Angioplasty with Stent Placement: Correlation with Ischemic Lesions in Diffusion Weighted Imaging

et al. 2009

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Background and PurposeFew studies investigated the neuropsychological outcome after carotid angioplasty with stent placement (CAS), yielding partially inconsistent results. The present investigation evaluated the effect of CAS in patients with high-grade stenosis and assessed the predictive value of ischemic lesion number for postinterventional cognitive deterioration.Methods22 patients were tested neuropsychologically before and six weeks after CAS. Cerebral ischemic changes were assessed with diffusion weighted imaging (DWI) prior to and after angioplasty.ResultsPre- to postinterventional cognitive performance improved significantly in terms of verbal memory (t = −2.30; p<0.05), whereas significant deterioration was noted regarding verbal memory span (t = 2.31; p<0.05). 8 (36%) persons conformed to the criteria of cognitive improvement. 6 patients (27%) were postinterventionally classified as having deficits. Analysis yielded no statistically significant correlations between lesion quantity and cognitive change.ConclusionBoth improvement and deterioration of cognitive functioning was observed in our collective of patients, leaving the neuropsychological outcome after percutaneous transluminal angioplasty unpredictable in individual cases. The presence of acute ischemic lesions on DWI was found to be not tightly associated with cognitive dysfunction after CAS.

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Section: Discussionmentioning

confidence: 99%

Neuropsychological Sequelae of Carotid Angioplasty with Stent Placement: Correlation with Ischemic Lesions in Diffusion Weighted Imaging

et al. 2009

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“…This trial, the largest and most comprehensive, did not demonstrate any neuropsychological cognitive decline in either group at 1 year. This is unsurprising as many studies have demonstrated that cognitive decline is the same with either on‐pump CABG or percutaneous coronary intervention 4 …”

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confidence: 99%

Critical evaluation: OPCAB surgery – the road to hell is paved with good intentions

Alvarez

2010

ANZ Journal of Surgery

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“…Neither surgery nor PCI is benign 11 . For comparable patients of any age in experienced hands, the risks of inducing death, myocardial infarction, stroke or neurocognitive deficits are the same with either approach 12 , 13 . With surgery, the failure rate is lower and there is less need for repeat interventions.…”

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confidence: 99%

Cardiac surgery in octogenarians and beyond

Alvarez¹

2004

Medical Journal of Australia

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Neuropsychological and psychiatric outcomes following coronary surgery or angioplasty: A comparative study

Cited by 4 publications

References 43 publications

Neuropsychological Sequelae of Carotid Angioplasty with Stent Placement: Correlation with Ischemic Lesions in Diffusion Weighted Imaging

Neuropsychological Sequelae of Carotid Angioplasty with Stent Placement: Correlation with Ischemic Lesions in Diffusion Weighted Imaging

Critical evaluation: OPCAB surgery – the road to hell is paved with good intentions

Cardiac surgery in octogenarians and beyond

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