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. 2022 Aug;14(8):842.
doi: 10.1136/neurintsurg-2021-018024. Epub 2021 Sep 2.

Transcarotid artery revascularization (TCAR): a technical video

Nanthiya Sujijantarat  1 , Joseph Antonios  1 , Andrew Koo  1 , Daniela Renedo  1 , Branden J Cord  2 , Akli Zetchi  1 , Ryan Hebert  1 , Charles Matouk  3
Affiliations

Transcarotid artery revascularization (TCAR): a technical video

Nanthiya Sujijantarat et al. J Neurointerv Surg. 2022 Aug.

Abstract

Carotid revascularization is an important method of stroke prevention and includes carotid endarterectomy and transfemoral carotid angioplasty and stenting. More recently, a hybrid open-endovascular approach, termed transcarotid artery revascularization (TCAR), is garnering increased attention. Although fundamentally a 'stenting procedure', unlike transfemoral carotid angioplasty and stenting, TCAR allows for a proximal neuroprotection strategy based on flow reversal. In this technical video, we will review operative techniques and nuances of the TCAR procedure, with a particular focus on the neurovascular proceduralist looking to adopt this technique into routine clinical practice(video 1). neurintsurg;14/8/842/V1F1V1Video 1TCAR Technical Video.

Keywords: angioplasty; balloon; device; stent; stroke.

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Conflict of interest statement

Competing interests: BJC is a non-paid consultant for Silk Road Medical. CM receives NIH support from R21NS119992 from the National Institute of Neurological Disorders and Stroke. He serves as site-PI for the following carotid revascularization trials: TCAR-DWI (Silk Road Medical) and CONFIDENCE (Microvention-Terumo). He is a non-paid consultant for Silk Road Medical.

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