Transcarotid Artery Revascularization
Transcarotid artery revascularization is a cutting-edge procedure designed to prevent strokes in patients with significant carotid artery disease. TCAR is a less invasive approach that combines traditional carotid endarterectomy techniques with modern transvascular neuroprotection. During the procedure, a small incision is made just above the collarbone to directly access the carotid artery, and a stent is placed to stabilize the artery and improve blood flow to the brain.
What to Expect
Before the Procedure
- You will undergo a thorough evaluation, including imaging tests such as carotid ultrasound or angiography to assess the extent of arterial blockage.
- Your surgeon will explain the procedure, including potential risks and benefits.
- You may be asked to stop certain medications or supplements that could affect blood clotting.
During the Procedure
- You will receive local anesthesia and mild sedation to keep you comfortable.
- A small incision is made at the neckline, and a specialized system temporarily reverses the blood flow in the carotid artery to protect the brain from plaque debris.
- A stent is then placed within the artery to stabilize the plaque and prevent a stroke.
- The procedure typically takes about one to two hours.
After the Procedure
- You will be monitored closely in the recovery area for any signs of complications.
- Most patients can expect to return home within 24 hours after TCAR.
- You will receive instructions on post-procedure care, including activity restrictions and follow-up appointments.
Recovery
The recovery period for TCAR is generally shorter and less painful than traditional open surgery. Patients may experience some neck discomfort or bruising, but this usually resolves within a few days.
It is important to follow your surgeon’s instructions regarding medications, wound care and activity levels to ensure a smooth recovery. Most patients are able to resume normal activities within a week, though driving and heavy lifting may be restricted for a short period.
Risks and Complications
TCAR is considered safer and less invasive than traditional surgery, but all procedures have risks. Possible complications include bleeding, infection, blood clots and stroke, although these are relatively rare. LifeBridge Health’s team of surgeons and vascular experts will ensure you understand any risks specific to your situation and prioritize mitigation.
Success Rates
- TCAR has been shown to have high success rates in preventing strokes with fewer complications compared to traditional carotid surgery.
- Clinical trials have demonstrated that TCAR has a low stroke and death rate, comparable to the best results of carotid endarterectomy but with fewer cranial nerve injuries and shorter hospital stays.
- Long-term success of the procedure also depends on adherence to healthy lifestyle choices and proper management of risk factors such as high blood pressure, cholesterol and diabetes.
For more information about transcarotid artery revascularization or to schedule a consultation with one of our vascular surgeons, please visit LifeBridge Health’s Vascular Surgery page. Our dedicated team is here to guide you through each step of your care, from diagnosis to recovery.