The diversity of effects of cerebral endovascular treatment on cognitive function

Abstract

Cerebrovascular stenosis is not only associated with ischemic stroke, but also with cognitive dysfunction. Hypoperfusion is an important mechanism of cognitive dysfunction. In such patients, the hemodynamics of cognitive impairment is reversible. Although carotid endarterectomy or angioplasty can significantly improve the perfusion, but the microemboli and perfusion abnormalities induced in operation may be harmful to cognitive function. So the cognitive improvement is diversity after the treatment. Attention should be paid to the cognitive function of patients with cerebrovascular stenosis, and continuous optimization of interventional operation methods and perioperative management could improve the cognitive function in endovascular therapy. DOI:10.3969/j.issn.1672-6731.2019.10.002

Keywords

• cerebral arterial diseases
• atherosclerosis
• endarterectomy, carotid
• angioplasty
• stents
• cognition disorders
• review