Transcarotid Artery Revascularization (TCAR): Advanced Stroke Prevention
Stroke is one of the leading causes of disability and death worldwide, and carotid artery disease is a major contributor to stroke risk. When plaque builds up inside the carotid arteries, it restricts blood flow to the brain and increases the likelihood of a stroke or transient ischemic attack (TIA). Transcarotid Artery Revascularization (TCAR) is an advanced, minimally invasive procedure that restores healthy blood flow while significantly reducing the risk of stroke during treatment.
Unlike traditional carotid surgery, TCAR uses a small incision near the neck along with a specialized flow-reversal system that temporarily directs blood away from the brain, preventing plaque particles from reaching the brain during stent placement. This innovative approach offers enhanced safety and faster recovery for eligible patients.
TCAR is often recommended for patients with significant carotid artery narrowing, previous stroke or TIA, heart or lung disease, prior neck surgery or radiation, or those considered high-risk for conventional carotid endarterectomy. The procedure typically takes 60–90 minutes and involves balloon angioplasty followed by placement of a self-expanding stent to keep the artery open.
Compared with open carotid surgery, TCAR offers several advantages, including a smaller incision, lower risk of nerve injury, minimal blood loss, shorter hospital stay, reduced postoperative discomfort, and quicker return to daily activities. Most patients are discharged within 24 hours and can resume light activities in just a few days.
Long-term success after TCAR depends on maintaining healthy lifestyle habits such as controlling blood pressure, managing cholesterol and diabetes, exercising regularly, quitting smoking, and taking prescribed medications consistently.
At RIVEA Vascular Institute, our vascular specialists provide advanced diagnosis and minimally invasive treatment for carotid artery disease using the latest endovascular technologies. Learn more about Carotid Artery Disease and explore our complete range of Vascular Treatments. Visit RIVEA Vascular Institute for expert stroke prevention and personalized vascular care: https://riveavascular.com/.