title: Cognitive improvement in patients with severe carotid artery stenosis after transcervical stenting with protective flow reversal.
abstract: Impaired cognitive function is often reported in patients with carotid artery stenosis. Revascularization by transcervical carotid artery stenting (CAS) with flow reversal is associated with increased cognition regardless of age, asymtomatic status, previous stroke events, baseline brain parenchyma status, and contralateral carotid artery stenosis. The findings of this preliminary prospective study suggest that transcervical CAS and stenting with flow reversal for cerebral protection is a safe technique that will improve, or at least not worsen, cognitive performance.
authors: Neurovascular Unit, Neurology Section, Hospital Universitario Vall d'Hebrón, Universidad Autónoma de Barcelona, Barcelona, Spain. gemmaortega@yahoo.es
authors: Gemma
authors: G
authors: Ortega
authors: Beatriz
authors: B
authors: Álvarez
authors: Manuel
authors: M
authors: Quintana
authors: Marc
authors: M
authors: Ribó
authors: Manuel
authors: M
authors: Matas
authors: José
authors: J
authors: Alvarez-Sabin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation*; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D017536:Carotid Artery, Common / Q000503:physiopathology / Q000601:surgery; D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D002560:Cerebrovascular Circulation; D003071:Cognition; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000503:physiopathology / Q000601:surgery; D008297:Male; D009483:Neuropsychological Tests; D011446:Prospective Studies; D020127:Recovery of Function; D012720:Severity of Illness Index; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler