A New Technique for Internal Carotid Artery Revascularization

A registry study suggests low complication rates with transcarotid artery revascularization, but the high rate of protocol violations necessitates further assessment.

Select patients with symptomatic carotid stenosis benefit from carotid revascularization, most commonly with carotid endarterectomy (CEA). Although more controversial, revascularization for asymptomatic carotid stenosis is also frequently performed in the U.S. A new option that has been developed for carotid stenosis, called transcarotid artery revascularization (TCAR), has now been evaluated in a multicenter registry.

The TCAR technique involves direct surgical access to the common carotid artery. Flow is reversed by placing a conduit to the femoral vein. A stent is then placed at the site of the internal carotid artery stenosis. The goal of this registry study was to evaluate technical success, along with freedom from stroke, myocardial in…

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

A New Technique for Internal Carotid Artery Revascularization

Topics

Reviewing Author