SilkRoad Medical: TCAR Procedure
Technical aspects of transcarotid artery revascularizationusing the ENROUTE transcarotid neuroprotection and stent system. J Vasc Surg 2017;65:916-20.
TCAR With Flow Reversal Is Equal To CEA For Treating High Risk Patients With Carotid Stenosis:DWMRI Findings Prove It (From The PROOF Trial)
Long-term comparative effectiveness of carotid stenting versus carotid endarterectomy in a large tertiary care vascular surgery practice. Journal of Vascular Surgery. Volume 68, Issue 4, October 2018, Pages 1039-1046.
THE CASE FOR TCAR UNDER LOCAL ANESTHESIA PPT: Dec 2017.
Challenging Case: The Consequence of Unmanaged Hypotension After TCAR. Endovascular Today. August 2019.
- Dual antiplatelet therapy: Aspirin and clopidogrel
- Beta blocker
- Local/MAC vs General
- arterial line
- Target systolic blood pressure is 140 – 160 mmHg. Consider glycopyrrolate adn vasopressors for hemodynamics.
- Surgical access: common carotid artery and femoral vein
- Goal ACT: 250-300
- Neuro checks – quick emergence from anesthesia prior to leaving OR
- ICU postop
- Tight BP control