Accessibility Statement

We are committed to providing a website that is accessible to the widest possible audience. To do so, we are actively working with consultants to update the website by increasing its accessibility and usability by persons who use assistive technologies such as automated tools, keyboard-only navigation, and screen readers.

We are working to have the website conform to the relevant standards of the Section 508 Web Accessibility Standards developed by the United States Access Board, as well as the World Wide Web Consortium's (W3C) Web Content Accessibility Guidelines 2.1. These standards and guidelines explain how to make web content more accessible for people with disabilities. We believe that conformance with these standards and guidelines will help make the website more user friendly for all people.

Our efforts are ongoing. While we strive to have the website adhere to these guidelines and standards, it is not always possible to do so in all areas of the website. If, at any time, you have specific questions or concerns about the accessibility of any particular webpage, please contact WebsiteAccess@tenethealth.com so that we may be of assistance.

Thank you. We hope you enjoy using our website.

Skip to Main Content

TCAR Procedure

Background

Each year, 795,000 people in the US suffer a stroke, also known as a brain attack. Strokes occur when blood flow to your brain is cut off. Carotid artery disease is estimated to be the source of stroke in up to a third of cases and there are 400,000 new diagnoses of carotid artery disease made every year in the United States alone. The carotid arteries extend from the main artery coming directly from your heart and supply oxygen-rich blood to the brain. When plaque builds up in the carotid arteries, they begin to narrow and slow down blood flow to the brain. Severe carotid artery disease can cause a stroke if the plaque fragments and small bits of plaque travel to the brain.

Procedure

For patients with carotid artery disease, Carotid Endarterectomy (CEA) has been the gold standard for treatment.  Now, there is a new, clinically proven alternative called Transcarotid Artery Revascularization. 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 a system that will temporarily direct blood flow away from the brain, protecting against dangerous debris reaching the brain during the procedure. Blood flows through the system and any material will be captured in a filter outside the body. Filtered blood will then be returned through a second tube in the upper thigh. A carotid stent will be implanted to stabilize the plaque and prevent future strokes. After the stent is placed successfully, flow reversal is turned off and blood flow resumes in its normal direction.

Benefits

Some of the many benefits of TCAR can include:

  • A smaller incision and scarring.
  • The lowest stroke rate of clinical studies to date.
  • Temporary reversal of blood flow to divert dangerous debris away from the brain, preventing a procedural stroke.
  • The implanted stent in the carotid artery opens and stabilizes the narrowing artery to protect patients from future stroke risk.
  • Minimized procedure times.
  • Loose material from the artery is captured in a filter outside the body, protecting against plaque that may come loose during the procedure.

Heart Quiz

How healthy is your heart?

Find Cardiologist Options

Fill out a contact form and we’ll call you to refer a doctor.

More Information

Cardiovascular Services