TransCarotid Artery Revascularization

We specialize in treating a wide array of venous disorders, utilizing our four non-invasive vascular.

What is TCAR?

TCAR is a patient-friendly, endovascular procedure that incorporates the neuroprotection principles of CEA. It utilizes the ENROUTE ® Transcarotid Neuroprotection System to temporarily reverse blood flow away from the brain, collecting any potential debris in the device filter, before returning the blood to a vessel in the leg. With reverse flow neuroprotection established, the ENROUTE ® Transcarotid Stent is then implanted in the lesion for long-term plaque stabilization and stroke prevention.

TCAR is well-suited for patients who are at higher risk of surgical complications, due to age, medical co-morbidities, or anatomical issues. The TCAR Surveillance Project, a quality initiative led by the Society of Vascular Surgeons, has established Medicare coverage and reimbursement for symptomatic and asymptomatic patients

TCAR – Procedure Details

A small incision is made just above the collar bone to expose the common carotid artery. A soft, flexible sheath is placed directly into the carotid artery and connected to a system that will reverse the flow of blood away from the brain to protect against fragments of plaque that may come loose during the procedure. The blood is filtered and returned through a second sheath placed in the femoral vein in the patient’s thigh. The Neuroprotection system allows balloon angioplasty and stenting to be performed while blood flow is reversed. After the stent is placed successfully to stabilize the plaque in the carotid artery, flow reversal is turned off and blood flow to the brain resumes in its normal direction.