Dynamics of the Alterations of Cognitive Functions in Patients with Past Interventions on the Carotid System
- 作者: Kalinin R.E.1, Suchkov I.A.1, Pshennikov A.S.1,2, Zorin R.A.1,2, Solyanik N.A.1, Egorov A.A.1,2, Krylov A.A.1,2, Yudin V.A.1, Kovalev S.A.3
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隶属关系:
- Ryazan State Medical University
- Regional Clinical Hospital
- N. N. Burdenko Voronezh State Medical University
- 期: 卷 30, 编号 2 (2022)
- 页面: 261-270
- 栏目: Reviews
- URL: https://bakhtiniada.ru/pavlovj/article/view/100037
- DOI: https://doi.org/10.17816/PAVLOVJ100037
- ID: 100037
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INTRODUCTION: Among the European population of 715 million people, 1.4 million cases of strokes are recorded annually. Of them, approximately 87% are ischemic strokes, and approximately 20% were accounted for by atherosclerosis of the carotid arteries. To prevent an ischemic cerebral event associated with atherosclerosis of brachiocephalic arteries, different surgical techniques have been developed including carotid endarterectomy (CEAE) and carotid artery stenting (CAS). CEAE and CAS reliably reduce the risk of recurrent stroke associated with atherothrombosis, but with this, the level of alterations of cognitive functions and the restoration of cerebral functional deficit have not been widely studied. At present, no randomized studies and meta-analyses have met all the standards of conducting research concerning alterations in cognitive functions in patients with past interventions on carotid arteries. Some medical centers have performed such interventions, but data are not unambiguous: some authors describe the improvement of cognitive functions, whereas others do not note any differences or even see signs of impairment.
CONCLUSION: This literature review highlights an issue concerning the assessment of the alteration of postoperative cognitive deficit in patients with past CEAE or CAS. Comparisons in the context of cognitive cerebral functions in the postoperative period of endarterectomy or stenting and assessment of neurological status in patients with or without a history of acute cerebrovascular accident, different variants of anesthesia, and CEAE techniques are considered.
作者简介
Roman Kalinin
Ryazan State Medical University
Email: kalinin-re@yandex.ru
ORCID iD: 0000-0002-0817-9573
SPIN 代码: 5009-2318
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, RyazanIgor Suchkov
Ryazan State Medical University
Email: i.suchkov@rzgmu.ru
ORCID iD: 0000-0002-1292-5452
SPIN 代码: 6473-8662
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, RyazanAlexander Pshennikov
Ryazan State Medical University; Regional Clinical Hospital
Email: pshennikov1610@rambler.ru
ORCID iD: 0000-0002-1687-332X
SPIN 代码: 3962-7057
MD, Dr. Sci. (Med.), Associate Professor
俄罗斯联邦, Ryazan; RyazanRoman Zorin
Ryazan State Medical University; Regional Clinical Hospital
Email: lenusik.25@mail.ru
ORCID iD: 0000-0003-4310-8786
SPIN 代码: 5210-5747
MD, Dr. Sci. (Med.), Associate Professor
俄罗斯联邦, Ryazan; RyazanNikita Solyanik
Ryazan State Medical University
编辑信件的主要联系方式.
Email: solianik.nikita@gmail.com
ORCID iD: 0000-0002-4667-3513
SPIN 代码: 3258-5210
俄罗斯联邦, Ryazan
Andrey Egorov
Ryazan State Medical University; Regional Clinical Hospital
Email: eaa.73@mail.ru
ORCID iD: 0000-0003-0768-7602
SPIN 代码: 2408-4176
MD, Dr. Sci. (Med.)
俄罗斯联邦, Ryazan; RyazanAndrey Krylov
Ryazan State Medical University; Regional Clinical Hospital
Email: andrewkrylov1992@gmail.com
ORCID iD: 0000-0002-2393-0716
SPIN 代码: 6638-6461
MD, Cand. Sci. (Med.)
俄罗斯联邦, Ryazan; RyazanVladimir Yudin
Ryazan State Medical University
Email: udin.va@yandex.ru
ORCID iD: 0000-0002-9955-6919
SPIN 代码: 1463-2810
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, RyazanSergey Kovalev
N. N. Burdenko Voronezh State Medical University
Email: kovalev@okb.vrn.ru
ORCID iD: 0000-0001-6342-2209
SPIN 代码: 4072-5292
MD, Dr. Sci. (Med.), Professor
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