Effect of different coronary artery revascularization procedures on cognition: A systematic review

Coronary revascularization interventions have been associated with post-intervention cognitive decline. Hence, this systematic review aims to compare the long-term effects of different coronary on cognition. The Cochrane Library and MEDLINE databases were searched for articles published between January 2009 2023. Articles clinical trials cohort studies that compared at least two a minimum three months follow up included evaluate consequences intervention techniques Each selected study was evaluated using revised tool assess risk bias in randomized (RoB 2), Risk Bias In Non-Randomized Studies - Interventions(ROBINS-1) used evaluating non-randomized studies. Five eligible studies, four comparisons, included. Out these RCTs A participants gone through procedures; on-pump off-pump artery bypass grafting (CABG), Percutaneous (PCI conventional cardiopulmonary (CCPB), miniaturized (MCPB) endoscopic (Endo-CABG). These comparisons showed cognition; however, there is no solid evidence correlations them. Thus, results suggest should be greater focus comparing reasonable follow-up duration set avoid influence confounders. There also need determine effect decline while reducing interference by other variables.