TCAR Procedure Advances Patient Care and Reduces Risk | Community


Baptist Health Madisonville performed its 50th transcarotid artery revascularization procedure. TCAR is a clinically proven, minimally invasive procedure to treat carotid artery disease and help prevent future strokes.

Baptist Health Madisonville began a carotid stent program in 2015 and switched to the TCAR procedure at the end of 2018. Currently, the team is on track to perform over 50 cases of TCAR in 2021.

“Providing this new minimally invasive treatment option to our patients with carotid artery occlusion advances patient care here in Madisonville by dramatically reducing the risk of stroke and heart attack during and after procedures. carotid artery disease, ”said Dr. T. Mark Stanfield – cardiothoracic and vascular surgeon at Baptiste.

TCAR is a patient-friendly endovascular procedure that uses a system that temporarily reverses blood flow out of the brain, collecting any potential debris in the device’s filter, before returning the blood to a vessel in the leg.

The TCAR usually takes 45 to 90 minutes, and patients usually go home the next day. The small incision means reduced risk to the cranial nerves and faster and less painful recovery for the patient.

The new minimally invasive procedure uses a special transcarotid neuroprotection system and is designed to reduce the risk of stroke during stent insertion.

The new NPS device allows the surgeon to directly access the common carotid artery in the neck and initiate a temporary high-flow blood flow reversal to protect the brain from stroke during placement and implantation of the stent.

The TCAR procedure is performed through a small incision in the neckline just above the collarbone. The surgeon places a tube directly into the carotid artery and connects it to the NPS which takes blood flow away from the brain, to protect against plaque that can break off and reach the brain.

The patient’s blood flows through the NPS and any material is captured in a filter outside the body. The filtered blood is then returned through a second tube in the upper part of the patient’s leg. After the stent is successfully placed, reverse flow is deactivated and blood flow resumes in its normal direction.

“Unlike conventional surgery, TCAR requires a smaller incision, which reduces the risk of nerve damage and a faster recovery time. With its reverse flow system, TCAR has also been shown to have fewer stroke complications compared to carotid stenting performed through the groin, ”Stanfield said.

TCAR is a safe and effective way for patients with carotid artery buildup to be treated minimally, according to Baptist.

Your vascular surgeon may recommend a TCAR procedure if you have been diagnosed with carotid artery disease requiring intervention and your age, anatomy, or other medical conditions put you at high risk for open surgery (carotid endarterectomy). .


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