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Resumen
Si bien el accidente cerebrovascular (ACV) es una causa conocida de deterioro cognitivo, la relación entre la estenosis de la arteria carótida y la función cognitiva en los individuos es, por cierto, muy poco clara debido a la heterogeneidad metodológica de los estudios que evalúan el beneficio cognitivo tras la revascularización carotídea.
Citas
Ancetti S, Paraskevas KI, Faggioli G, Naylor AR. Editor's Choice—Effect of carotid interventions on cognitive function in patients with asymptomatic carotid stenosis: a systematic review. Eur J Vasc Endovasc Surg. 2021;62(5):684-694. doi: https://doi.org/10.1016/j.ejvs.2021.07.012
Schröder J, Heinze M, Günther M, Cheng B, Nickel A, Schröder T, et al. Dynamics of brain perfusion and cognitive performance in revascularization of carotid artery stenosis. Neuroimage Clin. 2019;22:101779. doi: https://doi.org/10.1016/j.nicl.2019.101779
Orimoto R, Kobayashi E, Abe M, Adachi A, Yoshida Y, Okuyama T, et al. Correlation between higher brain dysfunction and cerebral blood flow after carotid artery stenting. J Neuroendovasc Ther. 2021;15(10):637-645. doi: https://doi.org/10.5797/jnet.oa.2020-0133
Ghogawala Z, Amin-Hanjani S, Curran J, Ciarleglio M, Berenstein A, Stabile L, et al. The effect of carotid endarterectomy on cerebral blood flow and cognitive function. J Stroke Cerebrovasc Dis. 2013;22(7):1029-1037. doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2012.03.016
Whooley JL, David BC, Woo HH, Hoh BL, Raftery KB, Hussain SI, et al. Carotid revascularization and its effect on cognitive function: a prospective nonrandomized multicenter clinical study. J Stroke Cerebrovasc Dis.2020;29(5):104702. doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104702.
Watanabe J, Ogata T, Higashi T, Inoue T. Cognitive change 1 year after CEA or CAS compared with medication. J Stroke Cerebrovasc Dis. 2017;26(6):1297-1305. doi: https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.01.024
Tuladhar AM, Reid AT, Shumskaya E, de Laat KF, van Norden AG, van Dijk EJ, et al. Relationship between white matter hyperintensities, cortical thickness, and cognition. Stroke. 2015;46(2):425-432. doi: https://doi.org/10.1161/STROKEAHA.114.007146
Yoshida J, Yamashita F, Sasaki M, Yoshioka K, Fujiwara S, Kobayashi M, et al. Adverse effects of pre-existing cerebral small vessel disease on cognitive improvement after carotid endarterectomy. Int J Stroke. 2020;15(6):657-665. doi: https://doi.org/10.1177/1747493019874732
Paraskevas KI, Faggioli G, Ancetti S, Naylor AR. Editor's Choice—Asymptomatic carotid stenosis and cognitive impairment: a systematic review. Eur J Vasc Endovasc Surg. 2021;61(6):888-899. doi: https://doi.org/10.1016/j.ejvs.2021.03.024
Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-198. doi: https://doi.org/10.1016/0022-3956(75)90026-6
Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695-699. doi: https://doi.org/10.1111/j.1532-5415.2005.53221.x
Dong Y, Sharma VK, Chan BP, Venketasubramanian N, Teoh HL, Seet RC, et al. The Montreal Cognitive Assessment (MoCA) is superior to the Mini-Mental State Examination (MMSE) for the detection of vascular cognitive impairment after acute stroke. J Neurol Sci. 2010;299(1-2):15-18. doi: https://doi.org/10.1016/j.jns.2010.08.051
Pendlebury ST, Cuthbertson FC, Welch SJ, Mehta Z, Rothwell PM. Underestimation of cognitive impairment by Mini-Mental State Examination versus the Montreal Cognitive Assessment in patients with transient ischemic attack and stroke: a population-based study. Stroke. 2010;41(6):1290-1293. doi: https://doi.org/10.1161/STROKEAHA.110.579888
Wei X, Liu Y, Li J, Zhu Y, Li W, Zhu Y, et al. MoCA and MMSE for detecting post-stroke cognitive impairment: a systematic review and diagnostic test accuracy meta-analysis. J Neurol. 2025;272:407. doi: https://doi.org/10.1007/s00415-025-13146-5
Kosgallana A, Cordato D, Chan DKY, Yong J. Use of cognitive screening tools to detect cognitive impairment after an ischaemic stroke: a systematic review. SN Compr Clin Med. 2019;1(4):255-262.doi: https://doi.org/10.1007/s42399-018-0035-2
Bravo G, Hébert R. Age- and education-specific reference values for the Mini-Mental and Modified Mini-Mental State Examinations derived from a non-demented elderly population. Int J Geriatr Psychiatry. 1997;12(10):1008-1018. https://doi.org/10.1002/(SICI)1099-1166(199710)12:10%3C1008::AID-GPS676%3E3.0.CO;2-A
Wu C, Dagg P, Molgat C. A pilot study to measure cognitive impairment in patients with severe schizophrenia with the Montreal Cognitive Assessment (MoCA). Schizophr Res. 2014;158(1-3):151-155. doi: https://doi.org/10.1016/j.schres.2014.07.006
Shah Z, Masoomi R, Thapa R, Wani M, Chen J, Dawn B, et al. Optimal medical management reduces risk of disease progression and ischemic events in asymptomatic carotid stenosis patients: a long-term follow-up study. Cerebrovasc Dis. 2017;44(3-4):150-159. doi: https://doi.org/10.1159/000477501
He J, Duan R, Qiu P, Zhang H, Zhang M, Liu M, et al. The risk factors of postoperative cognitive dysfunction in patients undergoing carotid endarterectomy: an updated meta-analysis. J Cardiothorac Surg. 2023;18(01):309. doi: https://doi.org/10.1186/s13019-023-02428-6
Ge Y, Li Q, Nie Y, Guo J, Luo K, Fang X, et al. Dexmedetomidine improves cognition after carotid endarterectomy by inhibiting cerebral inflammation and enhancing brain-derived neurotrophic factor expression. J Int Med Res. 2019;47(6):2471-2482. doi: https://doi.org/10.1177/0300060519843738
Carlson AP, Hänggi D, Macdonald RL, Shuttleworth CW. Nimodipine reappraised: an old drug with a future. Curr Neuropharmacol. 2020;18(1):65-82. doi: https://doi.org/10.2174/1570159X17666190927113021
Paraskevas KI, Brown MM, Lal BK, Myrcha P, Lyden SP, Schneider PA, et al. Recent advances and controversial issues in the optimal management of asymptomatic carotid stenosis. J Vasc Surg. 2024;79(3):695-703. doi: https://doi.org/10.1016/j.jvs.2023.11.004
Sridharan ND, Asaadi S, Thirumala PD, Avgerinos ED. A systematic review of cognitive function after carotid endarterectomy in asymptomatic patients. J Vasc Surg. 2022;75(6):2074-2085. doi: https://doi.org/10.1016/j.jvs.2021.12.059
Succar B, Chou YH, Hsu CH, Rapcsak S, Trouard TP, Zhou W. Cognitive effects of carotid revascularization in octogenarians. Surgery. 2023;174(4):1078-1082. doi: https://doi.org/10.1016/j.surg.2023.07.010
Lattanzi S, Carbonari L, Pagliariccio G, Bartolini M, Cagnetti C, Viticchi G, et al. Neurocognitive functioning and cerebrovascular reactivity after carotid endarterectomy. Neurology. 2018;90(4):e307-e315. doi: https://doi.org/10.1212/WNL.0000000000004862
Nigro B, Ferrari J. Does carotid endarterectomy provide benefits in cognitive functions in patients with severe extracranial cerebrovascular disease? J Vasc Surg. 2024;79(6):e231-e232. doi: https://doi.org/10.1016/j.jvs.2024.03.297