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The relationship of carotid artery disease with mental and neurocognitive disorders
Psychiatriki. 2022 May 26. doi: 10.22365/jpsych.2022.083. Online ahead of print.ABSTRACTCarotid stenosis constitutes a common vascular disease that significantly affects cerebral blood flow and thus is associated with patients' cognitive functions. Carotid revascularization techniques [carotid endarterectomy (CEA) and carotid artery stenting (CAS)] may benefit cognition, though there are opposing findings, reporting an apparent decrement in cognitive function, no effect, or an apparent improvement after revascularization. A great number of studies are trying to evaluate the effect of carotid revascularization (CEA, CAS) on...
Source: Psychiatriki - May 27, 2022 Category: Psychiatry Authors: Christos Ch Liapis Source Type: research

Preoperative anxiety as predictor of perioperative clinical events following carotid surgery: a prospective observational study
ConclusionsThe present study indicates that preoperative anxiety is associated with the occurrence of intra- and postoperative neurological events in patients undergoing CEA. Patients who had a preoperative HADS-A score of 6 or less had a very low probability of experiencing these complications.
Source: Perioperative Medicine - December 8, 2021 Category: Surgery Source Type: research

Perioperative baseline β-blockers: An independent protective factor for post-carotid endarterectomy hypertension.
CONCLUSION: The perioperative use of β-blockers is a protective factor for post-carotid endarterectomy hypertension and contributes to stabilizing the postoperative peak systolic blood pressure three days after conventional endarterectomy. However, β-blockers might also lead to intraoperative hemodynamic depression, especially for patients with a low baseline heart rate. PMID: 32772840 [PubMed - as supplied by publisher]
Source: Vascular - August 8, 2020 Category: Surgery Authors: Teng L, Fang J, Zhang Y, Liu X, Qu C, Shen C Tags: Vascular Source Type: research

Asymptomatic Carotid Stenosis Is Associated With Circadian and Other Variability in Embolus Detection
Conclusions: Embolism associated with asymptomatic carotid stenosis shows circadian variation with highest rates 4–6 h before midday. This corresponds with peak circadian incidence of stroke and other vascular complications. These and ASED Study results show that monitoring frequency, duration, and time of day are important in ES detection. Introduction Transcranial Doppler (TCD) detected microembolism in the ipsilateral middle cerebral artery (MCA) may help stratify the risk of stroke and other arterial disease complications in persons with advanced (≥60%) asymptomatic carotid stenosis. If so, this t...
Source: Frontiers in Neurology - April 15, 2019 Category: Neurology Source Type: research

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