dc.contributor.author |
Casas Hernanz, Laura |
dc.contributor.author |
Garolera, Maite |
dc.contributor.author |
Badenes, Dolors |
dc.contributor.author |
Quintana, Salvador |
dc.contributor.author |
Millán, Susana |
dc.contributor.author |
Calzado, Noemi |
dc.contributor.author |
de Francisco, Jorge |
dc.contributor.author |
Royo, Josep |
dc.contributor.author |
Aguilar Barberà, Miquel |
dc.date |
2017 |
dc.identifier |
https://ddd.uab.cat/record/187866 |
dc.identifier |
urn:10.5758/vsi.2017.33.4.146 |
dc.identifier |
urn:oai:ddd.uab.cat:187866 |
dc.identifier |
urn:pmid:29354625 |
dc.identifier |
urn:pmcid:PMC5754064 |
dc.identifier |
urn:pmc-uid:5754064 |
dc.identifier |
urn:articleid:22887989v33p146 |
dc.identifier |
urn:oai:pubmedcentral.nih.gov:5754064 |
dc.format |
application/pdf |
dc.language |
eng |
dc.publisher |
|
dc.relation |
Vascular Specialist International ; Vol. 33 (december 2017), p. 146-155 |
dc.rights |
open access |
dc.rights |
Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. |
dc.rights |
https://creativecommons.org/licenses/by-nc/4.0/ |
dc.subject |
Endarterectomy |
dc.subject |
Carotid stenosis |
dc.subject |
Angioplasty |
dc.subject |
Cognition |
dc.subject |
Neuropsychological tests |
dc.title |
Neuropsychological Outcome One Year after Carotid Revascularization : A before-and-after Study |
dc.type |
Article |
dc.description.abstract |
Altres ajuts: This study was supported by a grant from the Fundación Mútua Madrileña. |
dc.description.abstract |
The aim of our study was to determine the clinical profile of patients considered cognitive 'responders' to surgery in order to establish clinical variables associated with a favorable cognitive performance. A total of 70 patients were included in the study. A well-validated, comprehensive standardized neurocognitive battery of tests of about 2 hours was administered. Patients were examined twice, 1-week before surgery and 1-year postoperatively. The criterion to be included in the 'responder' group was the following: to obtain a positive difference between post-revascularization and pre-revascularization neuropsychological assessment ≥1 standard deviation in ≥2 tests. Twenty-seven patients (38.6%) were cognitive responders to treatment. In bivariate analysis between responders and non-responders, presence of atrophy (P=0.003), small vessels (P=0.577), symptoms (P=0.046), and age (P=0.030) were the factors statistically significant. When comparing cognitive performance before and after carotid revascularization, significant differences were observed in semantic fluency with a lower performance after 12 months (P=0.004, d=0.29), and in the Language index (Repeatable Battery for the Assessment of Neuropsychological Status) (P=0.005, d=0.34). Patients without neurological symptoms, of a younger age and without atrophy and white matter small vessel lesions are better cognitive responders 1-year after carotid revascularization. |