TCAR | A New, Less-invasive Procedure For Patients At Risk Of A Stroke

Many of our patients at The Surgical Clinic who have been at risk of having a stroke have successfully undergone a new, less-invasive procedure known as the TCAR procedure.

Each year, more than 300,000 people in the U.S. are diagnosed with some kind of blockage in their carotid arteries. Your carotid arteries are the major blood vessels that deliver blood to your brain. If left untreated, blood flow to the brain reduces or even stops, which can lead to a dangerous stroke.

The Surgical Clinic is pioneering the use of a breakthrough technology called Trans- Carotid Artery Revascularization (TCAR) to treat patients with carotid artery disease who are at risk for open surgery. This modern, minimally invasive surgery was designed to help keep potential stroke-causing fragments away from the brain.

Current treatment options such as traditional open surgery or use of stents to keep the artery open come with limitations. A new technique called TransCarotid Artery Revascularization (TCAR) combines direct carotid artery access with robust blood flow reversal during ENROUTE Transcarotid Stent placement to remove micro and macro emboli throughout the intervention for CEA-like neuroprotection in a less invasive, more patient-friendly approach.

TCAR Procedure

The TCAR procedure is performed through a small incision at the neckline where there is direct access to the carotid artery. This incision is much smaller in comparison to a typical Carotid Endarterectomy (CEA) incision. Once the incision has been made, a 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.

Surgeons then filter the blood before returning it to a vein in the groin, and a stent is implanted directly into the carotid artery to stabilize the plaque and prevent future strokes. The entire procedure is performed in less than half the time of CEA–limiting the stress on the heart and significantly cutting the risk of the patient having a stroke or heart attack during the procedure.

Patients who undergo the TCAR procedure typically recover quickly and in most cases may return to their daily routines the following day.

For more information about the TCAR procedure or to see if you may be a candidate, please contact one of our Vascular Surgeons at The Surgical Clinic. We have convenient locations throughout Middle Tennessee.