Association of Diabetes with Greater Mid-Term Cognitive Decline After Carotid Surgery.

ABSTRACT: Background/Objectives: Long-term cognitive outcomes after carotid surgery are influenced by diabetes and intraoperative changes. We aimed to analyze the postoperative cognitive changes in diabetic patients and nondiabetic patients after carotid endarterectomy (CEA). Additionally, major cardiovascular and cerebrovascular events (MACCEs) and the incidence of mortality at two years after surgery were assessed. Methods: We enrolled 37 diabetic and 67 nondiabetic patients undergoing elective carotid surgery. Intraoperatively, routine monitoring was completed with NIRS (near-infrared spectroscopy) and an Entropy monitor was used for neuromonitoring. The lowest cerebral tissue saturation levels during the cross-clamp period (rSO_2lowestclamp) and the degree of desaturation

SUBMITTER: Sandor AD 

PROVIDER: S-EPMC12467839 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature