Stroke is a leading cause of disability and death, often resulting from carotid artery disease, where plaque narrows the arteries supplying blood to the brain. Transcarotid Artery Revascularization (TCAR) is an advanced, minimally invasive procedure that restores healthy blood flow while reducing the risk of stroke during treatment. Unlike traditional carotid surgery, TCAR uses a small incision near the neck and a specialized flow-reversal system that temporarily directs blood away from the brain, preventing plaque fragments from causing a stroke during stent placement.

TCAR is recommended for patients with significant carotid artery narrowing, especially those at high risk for open surgery due to advanced age, heart or lung disease, previous neck surgery, or prior radiation therapy. The procedure involves direct access to the carotid artery, temporary flow reversal, balloon angioplasty to widen the narrowed vessel, and placement of a self-expanding stent to keep the artery open. Most procedures are completed within 60–90 minutes.

Compared with conventional carotid endarterectomy, TCAR offers several benefits, including a smaller incision, reduced risk of nerve injury, minimal blood loss, shorter hospital stays, less postoperative discomfort, and faster recovery. Most patients can walk within hours, return to light activities in a few days, and resume normal routines within a week.

Following TCAR, long-term success depends on maintaining a healthy lifestyle through smoking cessation, blood pressure and cholesterol control, diabetes management, regular exercise, a heart-healthy diet, and adherence to prescribed medications.

At RIVEA Vascular Institute, our experienced vascular and endovascular specialists provide comprehensive evaluation and personalized TCAR treatment using advanced imaging and minimally invasive technology. We are committed to delivering safe, evidence-based stroke prevention with faster recovery, excellent clinical outcomes, and compassionate follow-up care to help patients protect their brain health and improve their quality of life.