TCAR (Transcarotid Artery Revascularization)

TCAR is a minimally invasive procedure that helps treat narrowed carotid arteries and reduce the risk of stroke. It is often recommended for patients who may be at higher risk with traditional surgery.

How TCAR Works

  • A small incision is made just above the collarbone.
  • A special system temporarily reverses blood flow away from the brain during the procedure.
  • A stent is placed in the artery to keep it open.
  • Any debris that could cause a stroke is captured and removed, keeping the brain safe.
  • This method is designed to minimize complications and allow a faster recovery than traditional surgery.

Why TCAR May Be Recommended

  • For patients with significant narrowing of the carotid artery.
  • For individuals who are considered high-risk for standard carotid surgery.
  • To help prevent stroke in patients with plaque buildup or previous symptoms like a mini-stroke (TIA).

Benefits of TCAR

  • Minimally invasive with smaller incision and shorter recovery time.
  • Reduces the risk of stroke during the procedure.
  • Ideal for high-risk surgical patients who need safe alternatives.
  • Most patients can return to normal activities more quickly than with traditional surgery.

What to Expect During Recovery

  • TCAR is performed in a hospital under local or general anesthesia.
  • Hospital stay is usually short, often 1–2 days, depending on the patient.
  • Patients may experience mild soreness at the incision site for a few days.
  • Light activity and walking are encouraged, but heavy lifting or strenuous activity should be avoided initially.
  • Follow-up appointments are important to check the stent and overall blood flow.

Safety & Recovery Tips

  • Follow all instructions from your healthcare team
  • Keep the incision site clean and dry.
  • Watch for swelling, bruising, or unusual symptoms and contact your doctor if needed.
  • Maintain a healthy lifestyle and take medications as prescribed to support vascular health.

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We specialize in spine, pain management, vascular, and hand disorders, offering both surgical and non-surgical treatments.

In most cases, a referral is not required. However, some insurance plans may require one. Please check with your insurance provider or call our office to confirm.

Please bring:

  • A valid photo ID
  • Insurance card
  • Any imaging studies (MRI, X-rays, CT scans)
  • Previous medical records
  • A list of current medications

We are in-network with Horizon Blue Cross Blue Shield and Medicare.

If you have out-of-network benefits, we accept all commercial insurance plans and will work with you to maximize your coverage.

If surgery is recommended, our team will review all options, risks, benefits, and recovery expectations with you to help you make an informed decision.

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