ArticleAJNR. American journal of neuroradiology2005
Effects of carotid or vertebrobasilar stent placement on cerebral perfusion and cognition.
Article in AJNR. American journal of neuroradiology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review.AJNR. American journal of neuroradiology · 2023Pooled it
- Influence of stent-assisted angioplasty on cognitive function and affective disorder in elderly patients with symptomatic vertebrobasilar artery stenosis.Medical science monitor : international medical journal of experimental and clinical research · 2014Trial
- Ipsilateral foetal-type posterior cerebral artery is associated with cognitive decline after carotid revascularisation.BMC neurology · 2014Trial
- Percutaneous angioplasty and/or stenting versus aggressive medical therapy in patients with symptomatic intracranial atherosclerotic stenosis: a 1-year follow-up study.Frontiers in aging neuroscience · 2023Article
- Impairment of attention network function in posterior circulation ischemia-evidence from the Attention Network Test.Frontiers in human neuroscience · 2022Article
- Natural History of Hemodynamics in Vertebrobasilar Disease: Temporal Changes in the VERiTAS Study Cohort.Stroke · 2020Observational
- Observational
- Magnetic resonance imaging and clinical outcome in patients with symptomatic carotid artery stenosis after carotid artery revascularization.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2017Article
- Hemodynamic alterations in vertebrobasilar large artery disease assessed by arterial spin-labeling MR imaging.AJNR. American journal of neuroradiology · 2012Article
- Changes in perfusion-weighted magnetic resonance imaging after carotid angioplasty with stent.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2010Article
- Influence of carotid artery stenting on cognitive function.Neuroradiology · 2010Article
- Effect of carotid artery stenting on cognitive function in patients with carotid artery stenosis: preliminary results.AJNR. American journal of neuroradiology · 2008Article
- Intracranial angioplasty and stenting: long-term results from a single center.AJNR. American journal of neuroradiology · 2006Article
- Cognitive changes after carotid artery stenting.Neuroradiology · 2006Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere are no well-established physiologic or neuropsychological criteria for identifying which patients with stenosis of the cervicocerebral vessels are at high risk of stroke or cognitive impairment. Our purpose was to evaluate changes in cognitive performance and cerebral perfusion associated with endovascular stent placement of the cervicocerebral vessels.
methodsA consecutive series of 20 patients, 31-88 years of age, who underwent 21 stent procedures for arterial stenosis (10 extracranial carotid stents [ECS], four intracranial carotid stents [ICS], and seven extra- or intracranial vertebrobasilar stents [VBS]) was investigated retrospectively. All patients were evaluated with CT or MR perfusion studies both before and after stent placement. Cognitive response after stent placement was evaluated by using an informant questionnaire.
resultsIn patients with anterior circulation stenoses (ECS and ICS group), 11 of 14 (79%) had a baseline perfusion abnormality and all 11 patients showed improved perfusion after stent placement. Four of seven (57%) patients with posterior circulation stenoses (VBS group) had a baseline perfusion abnormality and two of the four patients showed improved perfusion after stent placement. Degree of stenosis was the strongest predictor of the presence of a baseline perfusion abnormality (P = .03). Fifteen of 19 (79%) of the patients showed improved cognitive scores after stent placement. Among patients with improvement in perfusion after stent placement, 11 of 13 (85%) had improved cognitive scores. Improved perfusion after stent placement was a significant predictor of cognitive improvement (P = .04). Patients who were stented on an elective basis demonstrated greater improvement in cognition as compared with patients stented urgently (P = .01).
conclusionEndovascular stent placement of the cervicocerebral vessels can safely and effectively resolve cerebral perfusion abnormalities. Improvement in perfusion parameters is associated with cognitive improvement. Larger, blinded, prospective studies are needed to confirm these preliminary observations.
Indexed as
Identifiers
16091529PMC7975161W2131927806What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.