Thanks to specialty training by vascular surgeons on the medical staff at Baylor Scott & White Heart and Vascular Hospital – Dallas, a relatively new procedure is now available to patients to help resolve blockages in the carotid artery that could lead to stroke. Transcarotid artery revascularization (TCAR) combines the safety and reliability of open carotid endarterectomy with the minimally invasive features of carotid stenting.
During TCAR, a small incision is made just above a patient’s collar bone to expose the common carotid artery. A soft, flexible sheath is placed directly into the carotid artery, connected to a specialized system to reverse the blood flow away from the brain to protect against fragments of plaque that may come loose during the procedure. The blood filters and returns through a second sheath placed in the femoral vein in the patient’s thigh, and then the stent is inserted to open the artery.
Vascular surgeons on the medical staff at Baylor Scott & White Heart and Vascular Hospital – Dallas continue a long history and tradition of innovation with the TCAR procedure, often an alternative to carotid endarterectomy.