Division of Vascular Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA.
Division of Vascular Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA.
Adv Surg. 2023 Sep;57(1):267-277. doi: 10.1016/j.yasu.2023.04.007. Epub 2023 May 17.
Carotid artery disease has been linked to baseline cognitive impairment, even in asymptomatic patients. Therefore, there has been a persistent interest in investigating the impact of carotid revascularization on cognitive functions, but the results have been heterogeneous. Our recent prospective evaluation showed improved cognitive scores across multiple cognitive measures following carotid intervention. Herein, we summarize the studies published to date, identify the potential contributors to the inconsistency of post-interventional cognitive outcomes, and explore further opportunities in cognitive evaluations.
颈动脉疾病与认知基线损伤相关，即使在无症状患者中也是如此。因此，人们一直持续关注颈动脉血运重建对认知功能的影响，但结果存在异质性。我们最近的前瞻性评估显示，颈动脉干预后多项认知测量的认知评分有所改善。在此，我们总结了迄今为止发表的研究，确定了导致介入后认知结果不一致的潜在因素，并探讨了认知评估的进一步机会。
