This longitudinal task-phase fMRI study aims to provide direct evidence of possible effects of Carotid angioplasty and stenting (CAS) on cognition. The initial phase enrolled patients with severe carotid stenosis (≥70% stenosis) who had MRI scans pre-CAS and two-month post-CAS. At each scan, patients completed two fMRI sessions while performing a working memory task. Improved cerebral perfusion to areas supplied by carotid arteries following CAS was correlated with improved cognitive function in working memory performance along with increased fMRI activations in the re-perfused vascular territory especially in frontal and temporal lobes and reduced in the contralateral hemisphere.
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