Evidence map›Paper›PMID 24455200›Full record

ArticleCardiovascular psychiatry and neurology2013

Cognitive Performance following Carotid Endarterectomy or Stenting in Asymptomatic Patients with Severe ICA Stenosis.

Livio Picchetto, Gianfranco Spalletta, Barbara Casolla, Claudia Cacciari, Michele Cavallari, Cristiano Fantozzi, Alessandro Ciuffoli, Maurizia Rasura, Francesca Imperiale, Giuliano Sette and 3 more

Abstract read
In one paragraph

Article in Cardiovascular psychiatry and neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Plaque imaging volume analysis: technique and application.Cardiovascular diagnosis and therapy · 2020
    Review
  3. Review
  4. Observational
  5. Orthostatic hypotension acutely impairs executive functions in Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Livio PicchettoDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), University of Rome "La Sapienza", Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Gianfranco SpallettaFondazione Santa Lucia, Instituto di Ricovero e Cura a Carattere Scientifico (IRCCS) and Memory Clinic, V. Ardeatina 306, 00179 Rome, Italy.
Barbara CasollaDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), University of Rome "La Sapienza", Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Claudia CacciariFondazione Santa Lucia, Instituto di Ricovero e Cura a Carattere Scientifico (IRCCS) and Memory Clinic, V. Ardeatina 306, 00179 Rome, Italy.
Michele CavallariDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), University of Rome "La Sapienza", Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Cristiano FantozziDepartment of Vascular Surgery, Sant'Andrea Hospital, University of Rome "La Sapienza", Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Alessandro CiuffoliDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), University of Rome "La Sapienza", Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Maurizia RasuraDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), University of Rome "La Sapienza", Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Francesca ImperialeDepartment of Neurology and Psychiatry (Parkinson's Centre) and Research Centre of Social Diseases (CIMS), University "La Sapienza", Viale dell'Università 20, 00185 Rome, Italy.
Giuliano SetteDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), University of Rome "La Sapienza", Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Carlo CaltagironeFondazione Santa Lucia, Instituto di Ricovero e Cura a Carattere Scientifico (IRCCS) and Memory Clinic, V. Ardeatina 306, 00179 Rome, Italy.
Maurizio TaurinoDepartment of Vascular Surgery, Sant'Andrea Hospital, University of Rome "La Sapienza", Via di Grottarossa 1035-1039, 00189 Rome, Italy.
Francesco OrziDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), University of Rome "La Sapienza", Sant'Andrea Hospital, Via di Grottarossa 1035-1039, 00189 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. Endarterectomy (CEA) or stenting (CAS) of a stenotic carotid artery is currently undertaken to reduce stroke risk. In addition removal of the arterial narrowing has been hypothesized to improve cerebral hemodynamics and provide benefits in cognitive functions, by supposedly resolving a "hypoperfusion" condition. Methods. In this study we sought to test whether resolution of a carotid stenosis is followed by measurable changes in cognitive functions in 22 subjects with "asymptomatic" stenosis. Results. A main finding of the study was the statistically significant pre-post difference observed in the performance of phonological verbal fluency and Rey's 15-word immediate recall. Remarkably, there was a significant interaction between phonological verbal fluency performance and side of the carotid intervention, as the improvement in the verbal performance, a typical "lateralized" skill, was associated with resolution of the left carotid stenosis. Conclusion. The results reflect a substantial equivalence of the overall performance at the before- and after- CEA or CAS tests. In two domains, however, the postintervention performance resulted improved. The findings support the hypothesis that recanalization of a stenotic carotid could improve brain functions by resolving hypothetical "hypoperfusion" states, associated with the narrowing of the vessels.

Identifiers

PMID24455200
PMCPMC3880731

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.