RSNA 2005 - RSNA Event

RSNA 2005 > Cognitive Changes after Carotid Artery Stenting

	CODE: SSG03-01
	SESSION: Vascular/Interventional (Percutaneous Transluminal Angioplasty, Stents, and Stent-Grafts)
	Cognitive Changes after Carotid Artery Stenting

PARTICIPANTS
Presenter
Iris	Grunwald	MD
Abstract Co-Author
Tillman	Supprian
Tobias	Struffert
Peter	Falkai
Christoph	Krick
Maria	Politi
	et al
- Author stated no financial disclosure - Disclosure information unavailable

	PURPOSE
	The aim was to test for changes in cognitive performance after carotid artery stenting

	METHOD AND MATERIALS
	10 patients were neuropsychologically tested at least 24 hours before and 48 hours after carotid artery stenting. To diminish thromboembolic events we used a proximal protection device. The following neuropsychplogical tests were selected: MMSE, symbol digit test and subtests of the CERAD battery (verbal fluency test, constructional practice, word list memory, delayed recall). Affective state was determined by the BECK Depression Inventory.

	RESULTS
	None of the patients suffered from depression (BDI<1) or dementia (MMSE 29.9+-1.5). 9/10 patients (p=0.12) showed increased speed in ZVT (corresponding to trail making test). Most patients showed better or at least similar results concerning delayed recall(p=0,31). No change was observed concerning digit symbol test, word list memory and verbal fluency and constructional practice.

	CONCLUSION
	After carotid stenting cognitive and memory performance seems to improve. As this is, to our knowledge, the first study comparing neuropsychological performance after stenting further studies with different time intervals and more refined testing are needed.