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Cognitive changes after surgery vs stenting for carotid artery stenosis  Brajesh K. Lal, MD, Maha Younes, PhD, Gina Cruz, APN, Indu Kapadia, PA, Zafar.

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Presentation on theme: "Cognitive changes after surgery vs stenting for carotid artery stenosis  Brajesh K. Lal, MD, Maha Younes, PhD, Gina Cruz, APN, Indu Kapadia, PA, Zafar."— Presentation transcript:

1 Cognitive changes after surgery vs stenting for carotid artery stenosis 
Brajesh K. Lal, MD, Maha Younes, PhD, Gina Cruz, APN, Indu Kapadia, PA, Zafar Jamil, MD, Peter J. Pappas, MD  Journal of Vascular Surgery  Volume 54, Issue 3, Pages (September 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Change (follow-up vs baseline) in the cognitive scores of a composite of all domains tested, and of each individual test, in patients undergoing carotid artery stenting (CAS) and carotid endarterectomy (CEA) for asymptomatic high-grade carotid artery stenosis. A positive change score indicates improvement in cognitive function after the procedure, a negative score indicates deterioration. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig. 2 Representative diffusion-weighted magnetic resonance images of the brain before and after carotid artery stenting (CAS) demonstrating a silent cortical microinfarct that did not manifest as a frank neurologic deficit on thorough neurological examination. A, Preprocedure diffusion-weighted coronal view. B, Preprocedure fluid-attenuated inversion-recovery (FLAIR) transverse image. C, Preprocedure diffusion-weighted transverse view. D, Diffusion-weighted transverse view obtained 24 hours postcarotid stenting. Note new infarction (circled). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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