Changes in Cognitive Functions after Carotid Endarterectomy and
Carotid Stenting: A Decade-Apart Comparison

J 2024

Changes in Cognitive Functions after Carotid Endarterectomy and Carotid Stenting: A Decade-Apart Comparison

VACLAVIK, Daniel, David PAKIZER, Tomas HRBAC, Martin ROUBEC, Vaclav PROCHAZKA et. al.

Základní údaje

Originální název

Changes in Cognitive Functions after Carotid Endarterectomy and Carotid Stenting: A Decade-Apart Comparison

Autoři

VACLAVIK, Daniel, David PAKIZER, Tomas HRBAC, Martin ROUBEC, Vaclav PROCHAZKA, Tomas JONSZTA, Roman HERZIG a David SKOLOUDIK

Vydání

Biomedicines, Basel, MDPI, 2024, 2227-9059

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30230 Other clinical medicine subjects

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 4.700 v roce 2022

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.3390/biomedicines12010013

UT WoS

001149180400001

Klíčová slova česky

carotid stenosis; carotid endarterectomy

Klíčová slova anglicky

carotid stenosis; carotid endarterectomy

Štítky

Excelence Science, FN OSTRAVA, RIV, článek v časopise

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 20. 8. 2024 12:16, Bc. Hana Vladíková, BBA

Anotace

V originále

Background: This study investigates changes in cognitive function in patients with severe carotid stenosis who underwent carotid endarterectomy (CEA) and carotid stenting (CAS) over two decades. Methods: We compared cognitive function within 30 days after the procedure in 267 patients (first 100 each for CEA and CAS in two periods: 2008-2012 and 2018-2022) in a single institution. Assessments used Adenbrooke's Cognitive Examination-Revised (ACE-R), the Mini-Mental State Examination (MMSE), Speech Fluency Test (SFT), and Clock Drawing Test (CDT), conducted before and 30 +/- 2 days after surgery. Results: Patients (mean age 67.2 years, 70%+ carotid stenosis) exhibited different cognitive changes over periods. In 2008-2012, significant declines in MMSE (CEA, p = 0.049) and CDT (CAS, p = 0.015) were observed among asymptomatic patients. On the contrary, in 2018-2022, improvements were observed in ACE-R and MMSE for symptomatic and asymptomatic patients undergoing CEA and CAS. Conclusion: Over a decade, advances in interventional techniques and patient management have reduced risks of cognitive decline in patients with asymptomatic carotid stenosis and also have improved cognitive functions in both symptomatic and asymptomatic individuals.

Návaznosti

90249, velká výzkumná infrastruktura

Název: CZECRIN IV

Citovat

VACLAVIK, Daniel, David PAKIZER, Tomas HRBAC, Martin ROUBEC, Vaclav PROCHAZKA, Tomas JONSZTA, Roman HERZIG a David SKOLOUDIK. Changes in Cognitive Functions after Carotid Endarterectomy and Carotid Stenting: A Decade-Apart Comparison. Biomedicines. Basel: MDPI, 2024, roč. 12, č. 1, s. 1-11. ISSN 2227-9059. Dostupné z: https://dx.doi.org/10.3390/biomedicines12010013.

@article{2424065,
   author = {Vaclavik, Daniel and Pakizer, David and Hrbac, Tomas and Roubec, Martin and Prochazka, Vaclav and Jonszta, Tomas and Herzig, Roman and Skoloudik, David},
   article_location = {Basel},
   article_number = {1},
   doi = {http://dx.doi.org/10.3390/biomedicines12010013},
   keywords = {carotid stenosis; carotid endarterectomy},
   language = {eng},
   issn = {2227-9059},
   journal = {Biomedicines},
   title = {Changes in Cognitive Functions after Carotid Endarterectomy and Carotid Stenting: A Decade-Apart Comparison},
   url = {https://www.mdpi.com/2227-9059/12/1/13},
   volume = {12},
   year = {2024}
}

TY  - JOUR
ID  - 2424065
AU  - Vaclavik, Daniel - Pakizer, David - Hrbac, Tomas - Roubec, Martin - Prochazka, Vaclav - Jonszta, Tomas - Herzig, Roman - Skoloudik, David
PY  - 2024
TI  - Changes in Cognitive Functions after Carotid Endarterectomy and Carotid Stenting: A Decade-Apart Comparison
JF  - Biomedicines
VL  - 12
IS  - 1
SP  - 1-11
EP  - 1-11
PB  - MDPI
SN  - 22279059
KW  - carotid stenosis
KW  - carotid endarterectomy
UR  - https://www.mdpi.com/2227-9059/12/1/13
N2  - Background: This study investigates changes in cognitive function in patients with severe carotid stenosis who underwent carotid endarterectomy (CEA) and carotid stenting (CAS) over two decades. Methods: We compared cognitive function within 30 days after the procedure in 267 patients (first 100 each for CEA and CAS in two periods: 2008-2012 and 2018-2022) in a single institution. Assessments used Adenbrooke's Cognitive Examination-Revised (ACE-R), the Mini-Mental State Examination (MMSE), Speech Fluency Test (SFT), and Clock Drawing Test (CDT), conducted before and 30 +/- 2 days after surgery. Results: Patients (mean age 67.2 years, 70%+ carotid stenosis) exhibited different cognitive changes over periods. In 2008-2012, significant declines in MMSE (CEA, p = 0.049) and CDT (CAS, p = 0.015) were observed among asymptomatic patients. On the contrary, in 2018-2022, improvements were observed in ACE-R and MMSE for symptomatic and asymptomatic patients undergoing CEA and CAS. Conclusion: Over a decade, advances in interventional techniques and patient management have reduced risks of cognitive decline in patients with asymptomatic carotid stenosis and also have improved cognitive functions in both symptomatic and asymptomatic individuals.
ER  -

VACLAVIK, Daniel, David PAKIZER, Tomas HRBAC, Martin ROUBEC, Vaclav PROCHAZKA, Tomas JONSZTA, Roman HERZIG a David SKOLOUDIK. Changes in Cognitive Functions after Carotid Endarterectomy and Carotid Stenting: A Decade-Apart Comparison. \textit{Biomedicines}. Basel: MDPI, 2024, roč.~12, č.~1, s.~1-11. ISSN~2227-9059. Dostupné z: https://dx.doi.org/10.3390/biomedicines12010013.

Podrobný výpis o publikaci