Hearing that you or a loved one is at high risk for stroke can be overwhelming, especially when treatment options carry their own set of risks. For many patients diagnosed with carotid artery disease, the idea of undergoing major surgery isn’t just daunting—it may not even be safe. Fortunately, advancements in vascular care have opened the door to safer, less invasive procedures. One of the most promising among them is TCAR (Transcarotid Artery Revascularization), a technique that’s changing how we prevent strokes in high-risk individuals.
Understanding this advanced procedure could change the trajectory of your vascular health. Read on to discover more about this innovative treatment and its benefits.
Understanding Carotid Artery Disease
The carotid arteries, located on either side of the neck, supply oxygen-rich blood to the brain. When plaque builds up in these arteries (a condition known as carotid artery stenosis), it can reduce blood flow or lead to the formation of clots that may cause a stroke.
Key risks for carotid artery disease include:
- High blood pressure
- Smoking
- High cholesterol
- Diabetes
- Family history of vascular disease
If you’ve been diagnosed with carotid artery disease, especially with significant blockage, your healthcare provider may recommend a procedure to restore healthy blood flow and reduce your risk of stroke.
What Is TCAR?
Transcarotid Artery Revascularization (TCAR) is a cutting-edge procedure designed for patients who may not be good candidates for traditional surgery, such as carotid endarterectomy (CEA).
How TCAR works:
- A small incision is made at the neckline to access the carotid artery.
- Blood flow is temporarily reversed during the procedure to keep potential plaque away from the brain.
- A stent is inserted to stabilize the artery and prevent future blockages.
This minimally invasive technique significantly lowers the risk of stroke during the procedure and results in shorter recovery times.
Why TCAR Is Safer for High-Risk Patients
Compared to traditional surgery, TCAR offers several advantages, particularly for patients with other medical conditions or anatomical concerns:
- Minimally invasive – Smaller incision and less disruption to surrounding tissues
- Lower stroke risk – Reverse flow technique protects the brain from embolic debris
- Faster recovery – Most patients return home the next day
- Fewer complications – Reduced risk of cranial nerve injury and infection
- Better option for older adults – Especially beneficial for patients over 75 or with prior neck surgeries
Who Is a Candidate for TCAR?
TCAR is ideal for patients who:
- Are considered high-risk for traditional carotid surgery
- Have significant carotid artery narrowing
- Have had prior neck radiation, surgery, or anatomical challenges
- Are older or have multiple chronic conditions
If you’re unsure whether TCAR is right for you or a loved one, speaking with a vascular specialist experienced in the procedure is essential.
Recovery and Results
Recovery from TCAR is generally quicker and more comfortable than traditional surgery. Most patients:
- Go home within 24 hours
- Resume normal activities within a week
- Experience minimal scarring and pain
Clinical studies have shown TCAR to have stroke rates comparable to—or even lower than—carotid endarterectomy, making it a highly effective treatment option.
Improving Stroke Prevention in New England
With locations across New England, The Vascular Care Group is proud to be at the forefront of vascular innovation, offering TCAR to qualified patients. Our experienced specialists provide thorough evaluations and compassionate, individualized care to ensure the best possible outcomes.
If you or someone you love has been diagnosed with carotid artery disease, TCAR could be a safer path forward. Contact The Vascular Care Group today to schedule a consultation at one of our convenient New England locations. Our team is here to help you protect your health and your future.