As a relatively new and innovative procedure, TransCarotid Artery Revascularization (TCAR) is now officially offered at Memorial Hermann Katy Hospital thanks to directional support and leadership by Associate Professor of Vascular and Endovascular Surgery, Stuart Harlin, MD.
TCAR, is a hybrid procedure that was developed to treat patients with carotid artery disease who are at risk for traditional carotid endarterectomy. The minimally invasive approach uses a special transcarotid neuro-protection system (NPS) and is designed to reduce the risk of stroke during the insertion of the stent. The NPS device also allows the surgeon to directly access the common carotid artery in the neck and initiate temporary blood flow reversal to protect the brain from stroke while delivering and implanting the stent.
The TCAR procedure is performed through a small incision at the neckline just above the clavicle. This incision is much smaller than a typical CEA incision. The surgeon places a tube directly into the carotid artery and connects it to the NPS that directs blood flow away from the brain, to protect against plaque that may come loose reaching the brain. In addition to a lower risk of stroke and nerve damage, the technique also allows patients to recover from the procedure quicker than traditional interventions.