Abstract

Response: We thank Dr Cohen for his interest in our study and for his questions aiming at clarifying our data. Postprocedure strokes were considered minor if they increased the NIHSS by ≤3 at the end of 30 days. Justly, Dr Cohen raises the concern that clinically silent diffusion-weighted imaging lesions after carotid angioplasty and stenting (CAS) might have an impact on cognitive functions, which unquestionably deserves to be tested in large studies. On the other hand, current data from small studies indicate neither that CAS carries a high risk of cognitive decline nor that there is a clear association between the incidence of new diffusion-weighted imaging lesions and cognitive parameters. In fact, the effects of CEA and carotid PTA …

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