Transcarotid Artery
Revascularization (TCAR)

Combining the benefits of surgery with a less invasive approach

Transcarotid Artery
Revascularization
(TCAR)

Combining the benefits of surgery with
a less invasive approach

Transcarotid
Artery
Revascularization
(TCAR)

Combining the benefits
of surgery with a less
invasive approach

A Less Invasive Way to Prevent Stroke 

TCAR is a procedure that carries the same low stroke rate as the traditional surgical option (CEA) with a less invasive approach that reduces the risk of heart attack and nerve injury. TCAR also reduces the time required to perform the procedure and the amount of time the average patient needs to spend recovering in hospital.

The TCAR Procedure 

During the TCAR procedure, patients are protected from stroke since blood flow on the side being treated is temporarily directed away from the brain and into a filter – this helps prevent any dangerous, fatty material from going up to your brain and causing a stroke. A flexible, metal tube called a stent is placed in the artery to help prevent strokes and increase blood flow to the brain.

Benefits of a Less Invasive Approach to Carotid Artery Disease

Exceptional Stroke Prevention

TCAR has similar or lower chances of stroke when compared to other treatment options such as carotid endarterectomy and transfemoral carotid artery stenting.  

Less Risk of Having a Heart Attack

A smaller incision (cut) and a shorter procedure reduces the stress on the heart during treatment.

Less Risk of Nerve Damage

With a much smaller incision (cut), compared to traditional surgery, there is less chance of nerve damage that can cause issues with swallowing, speaking and sensation in the face.

Shorter Hospital Stay

Patients having TCAR are (on average) able to leave the hospital faster than those that have traditional surgery. 

Pre & Post Treatment

Whether or not you have had any symptoms of a stroke or an actual stroke, the TCAR procedure is performed to lessen your risk for a future stroke.

What to expect before and after the procedure:

  • Most patients are able to go home the day following the procedure
  • You may experience some pain after this procedure, but it should be minimal
  • Follow all of your physician’s instructions for taking care of your incision site
  • If you experience unusual headaches, dizziness or other unusual symptoms, call the physician who performed your procedure immediately or dial 911
  • It is important to follow your physician’s instructions for medication before and after this procedure. Drink plenty of water before midnight the day before your procedure.

Risks of Transcarotid Artery Revascularization

A potential complication of TCAR is a stroke during the procedure itself. For patients at higher risk for open surgery, the TCAR procedure is designed to reduce the risk of stroke while inserting a stent. When compared to carotid endarterectomy, TCAR patients are equally likely to have a stroke during the procedure itself and are less likely to have a heart attack, experience nerve injury, and stay more than one day at the hospital. Studies also show that patients having a TCAR procedure have a lower risk of stroke than patients that have a transfemoral carotid artery stenting procedure. 

Risks of Transcarotid Artery Revascularization

A potential complication of TCAR is a stroke during the procedure itself. For patients at higher risk for open surgery, the TCAR procedure is designed to reduce the risk of stroke while inserting a stent. When compared to carotid endarterectomy, TCAR patients are equally likely to have a stroke during the procedure itself and are less likely to have a heart attack, experience nerve injury, and stay more than one day at the hospital. Studies also show that patients having a TCAR procedure have a lower risk of stroke than patients that have a transfemoral carotid artery stenting procedure. 

Additional Treatment Options Available to Treat Carotid Artery Disease

Medical Therapy

Managing your carotid artery disease with medication.

Carotid Endarterectomy

Surgical treatment option to reduce the risk of stroke.

Transfemoral Carotid Artery Stenting

Carotid artery disease treated with a stent placed with access through the upper leg.

Insurance and Medicare Coverage for TCAR 

The TCAR procedure is typically covered by insurance for patients at high risk for open surgery. Your physician will assess your risk factors to determine if you are eligible for coverage.