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For decades, the primary surgical treatment for severe carotid artery disease was an open procedure called carotid endarterectomy. While effective, this surgery requires a neck incision and can be challenging for older patients or those with complex medical histories.
Today, there is a modern, minimally invasive option that is changing stroke prevention for high-risk patients: TCAR — TransCarotid Artery Revascularization.
What Makes TCAR Different?
TCAR was specifically designed to reduce stroke risk during the procedure itself. Traditional carotid stenting requires navigating catheters from the groin up to the neck, passing through the aortic arch — a process that can potentially dislodge plaque.
TCAR takes a safer route.
Through a small incision at the neckline, vascular surgeons directly access the carotid artery. The most innovative part of TCAR is flow reversal technology. During the procedure, blood flow is temporarily reversed away from the brain. This means that if any plaque debris breaks loose, it is safely diverted away from the brain and captured in a filter.
This significantly reduces the risk of stroke during treatment.
Who Is a Candidate for TCAR?
TCAR is ideal for patients who:
● Have significant carotid narrowing
● Are considered high risk for open surgery
● Have heart or lung disease
● Are older adults
● Have challenging anatomy for traditional surgery
Many patients who previously had limited options can now be safely treated.
Benefits of TCAR
Patients undergoing TCAR often experience:
● Shorter procedure time
● Small incision
● Faster recovery
● Minimal hospital stay
● Lower stroke risk during the procedure
Most patients return home the next day.
VIC: A Regional Leader in TCAR
The Vascular Institute of Chattanooga is a regional leader in TCAR and advanced stroke prevention strategies. Our vascular surgeons are highly trained in this technology and have helped countless patients avoid devastating strokes through early intervention.
Frequently Asked Questions
Is TCAR safe?
Yes. TCAR was developed specifically to improve safety during carotid treatment.
How long is recovery?
Most patients resume normal activities quickly.
How do I know if I qualify?
A carotid ultrasound and vascular consultation determine eligibility.
Stroke Prevention Has Advanced — Take Advantage of It
You no longer have to wait for symptoms or fear invasive surgery. Modern vascular care offers safer, more effective options than ever before.
Appointments are available within a week. Call 423.602.2750 to schedule your evaluation.
