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Stroke Prevention Procedures

Stroke Prevention Procedures

Vascular Institute of Chattanooga performs a range of stroke prevention procedures tailored to treat patients’ medical needs. To learn about these procedures and what they entail, click each one below.

Carotid artery disease occurs when the major arteries in your neck become narrowed or blocked.  These arteries supply your brain with blood.  The carotid arteries extend from your aorta in your chest to the brain inside your skull. As you age a sticky substance called plaque can build up in the walls of your arteries. Plaque is made up of cholesterol, calcium, and fibrous tissue. As more plaque builds up, your arteries narrow and stiffen, leading to a process called atherosclerosis, or hardening of the arteries.  A blocked carotid artery is a major risk for stroke.

During a carotid endarterectomy procedure, your surgeon makes an incision on the neck, opens the artery, and removes the plaque build-up. This will require overnight hospitalization.

TCAR is a minimally invasive procedure to treat carotid artery disease, reducing the risk of stroke from happening during the procedure. In the TCAR procedure, the blood flow is reversed temporarily, so the bits of plaque that are being cleared out do not go toward the brain, leading to stroke. There are specific candidates who are appropriate for this procedure, and your surgeon will define the best options for the patient.

Transfemoral Carotid Stenting is a procedure in which a vascular surgeon inserts a slim mesh tube called a stent into the artery to expand the artery walls and increase the blood flow in the blocked artery that leads to the brain.


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