Skip to main content
Log in

Neuropsychological Status of Patients with Minor and Moderate Carotid Artery Stenosis Undergoing Coronary Bypass

  • Published:
Neuroscience and Behavioral Physiology Aims and scope Submit manuscript

The aim of the present work was to undertake a comparative evaluation of changes in the neurological and neuropsychological status of patients with and without carotid artery stenoses of less than 50% after coronary bypass. A total of 65 patients were assessed, in two groups: group 1 did not have carotid artery stenosis and included 35 patients (mean age 56.2 ± 5.7 years) and group 2 had carotid artery stenosis and included 30 patients (56.8 ± 5.5 years). Before surgery, all patients had comparable clinical and history data. As compared with patients without stenosis, those with minor and moderate carotid artery stenosis showed higher incidences of asthenic, vestibular, and vestibulo-atactic syndromes before surgery. After coronary bypass, deterioration in neurological status was seen in patients of both groups. Patients with minor and moderate carotid artery stenosis had worse neuropsychological test results one month after surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. R. S. Akchurin and A. A. Shiryaev, Current Problems in Coronary Surgery [in Russian], Geotar-Med, Could (2004).

    Google Scholar 

  2. L. S. Barbarash, O. L. Barbarash, E. S. Malyshenko, et al., “Type 1 post-operative neurological impairments in patients after coronary bypass,” Kardiol. Serd.-Sosud. Khir., No. 5, 14–17 (2011).

    Google Scholar 

  3. L. A. Bokeriya, V. A. Bukharin, V. S. Rabotnikov, and M. D. Alshibaya, Surgical Treatment of Patients with Ischemic Heart Disease and Lesions to the Brachiocephalic Arteries [in Russian], Bakulev NTsSSKh RAMN, Moscow (2006), 2nd ed.

    Google Scholar 

  4. L. A. Bokeriya, P. R. Kamchatnov, I. V. Klyuchnikov, et al., “Cerebrovascular disorders in patients with coronary bypass,” Zh. Nevrol. Psikhiat., No. 3, 90–94; (2008).

  5. V. G. Postnov, A. M. Karas’kov, and V. V. Lomivorotov, Neurology in Cardiac Surgery: Handbook for Doctors [in Russian], Sibregion Info., Novosibirsk (2007).

    Google Scholar 

  6. A. Alga, P. Gates, A. Fox, et al., “Side of brain infarction and long-term risk of sudden death in patients with symptomatic carotid disease,” Stroke, 34, 2871–2875 (2003).

    Article  Google Scholar 

  7. K. Brown, “Treatment of concomitant carotid and coronary artery disease. Decision making regarding surgical options,” J. Cardiovasc. Surg., 44, 395–399 (2003).

    CAS  Google Scholar 

  8. V. Goyal, K. Mukherjee, A. Shrivastva, et al., “Carotid endarterectomy with or without coronary artery bypass surgery – 5-year experience,” Indian J. Thorac. Cardiovasc. Surg., 26, 185–188 (2010).

    Article  Google Scholar 

  9. S. Manabe, T. Shimokawa, T. Fukui, et al., “Influence of carotid artery stenosis on stroke in patients undergoing off-pump coronary artery bypass grafting,” Eur. J. Cardiothorac. Surg. 34, 1005–1008 (2008).

    Article  PubMed  Google Scholar 

  10. S. P. Newman and M. J. Harrison, “Coronary-artery bypass and the brain: persisting concerns,” Lancet Neurol., No. 1, 119–125 (2002).

    Article  PubMed  Google Scholar 

  11. N. Stroobant, F. van Nooten, G. De Bacquer, et al., “Neurophysiological functioning 3–5 years after coronary artery bypass grafting: does the pump make a difference?” Eur. J. Cardiothorac. Surg., 34, 396–401 (2008).

    Article  PubMed  Google Scholar 

  12. O. Trubnikova, I. Tarasova, and O. Barbarash, “The influence of low and moderate carotid stenosis on neurophysiologic status of patients undergoing on-pump coronary artery bypass grafting,” Front. Neurol., No. 3, 1 (2012).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to O. A. Trubnikova.

Additional information

Translated from Zhurnal Nevrologii i Psikhiatrii imeni S. S. Korsakova, Vol. 113, No. 3, Iss. I, pp. 28–33, March, 2013.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Trubnikova, O.A., Tarasova, I.V., Syrova, I.D. et al. Neuropsychological Status of Patients with Minor and Moderate Carotid Artery Stenosis Undergoing Coronary Bypass. Neurosci Behav Physi 44, 625–630 (2014). https://doi.org/10.1007/s11055-014-9962-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11055-014-9962-x

Keywords

Navigation