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Type: Artigo de periódico
Title: Carotid Stenting versus Endarterectomy Cognitive Outcomes
Author: da Paz, OG
Guillaumon, AT
Lopes, TM
Weiler, M
Cendes, F
Balthazar, MLF
Abstract: Background: The objectives are to analyze the impact of carotid revascularization on cognitive performance after a 3-month period in patients, who have undergone carotid artery stenting (CAS) or carotid endarterectomy (CEA), and to compare the cognitive outcomes between these 2 groups of patients. This a nonrandomized and prospective single-center experience. Methods: This study was performed in the University of Campinas Hospital from January 2010 to January 2012 and included 30 patients with carotid stenosis who received carotid interventions. Nineteen patients received CEA and 11 patients received CAS. Neuropsychologic evaluation included general cognitive, language, visuospatial, attentional, executive function, and memory tests. Results: After the follow-up period, there was improvement in episodic memory, encoding subitem (P = 0.02), and delayed recall (P = 0.02) for the CEA group. The CAS group improved in episodic memory, encoding subitem (P = 0.009), working memory (P = 0.04), and executive functions (P = 0.02). Comparing the techniques, the CAS group showed higher scores only in executive functions (P = 0.02). Conclusions: Both groups had a similar performance in cognitive tests, comparing preoperative and postoperative results. However, patients who underwent CAS tended to achieve higher scores in executive function and operational memory/attention tests.
Country: EUA
Editor: Elsevier Science Inc
Citation: Annals Of Vascular Surgery. Elsevier Science Inc, v. 28, n. 4, n. 893, n. 900, 2014.
Rights: fechado
Identifier DOI: 10.1016/j.avsg.2013.10.010
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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