Cognitive improvement in patients with severe carotid artery stenosis after transcervical stenting with protective
Gemma Ortega1, Beatriz Álvarez, Manuel Quintana
1Neurovascular Unit, Neurology Section, Hospital Universitario Vall d'Hebrón, Universidad Autónoma de Barcelona, Barcelona, Spain. gemmaortega@yahoo.es
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.