A Prosthetic Conduit can be Used Safely for TransCarotid Artery Revascularization Under Local Anesthesia in High-Risk Patients.
Jeffrey LuKatey McCabeCharlie DruckerDavid N BlitzerKhanjan NagarshethShahab ToursavadkohiPublished in: Vascular and endovascular surgery (2024)
Surgical management of carotid stenosis has evolved from open carotid endarterectomy (CEA) to include multiple alternative procedures including transfemoral carotid artery stenting (tfCAS) and transcarotid artery stenting. In recent years, Transcarotid Artery Revascularization (TCAR) has emerged as a third option, combining open cut down to the common carotid artery (CCA) with endovascular stenting and neuroprotection via reversal of cerebral blood flow. In this case series, a modified TCAR procedure using a prosthetic conduit was successfully performed exclusively under local anesthesia in a total of 10 patients with carotid artery stenosis, high cardiac risk, and anatomical contraindications to a traditional TCAR.
Keyphrases
- antiplatelet therapy
- minimally invasive
- cerebral blood flow
- percutaneous coronary intervention
- end stage renal disease
- ejection fraction
- coronary artery bypass grafting
- newly diagnosed
- acute coronary syndrome
- peritoneal dialysis
- brain injury
- transcatheter aortic valve implantation
- left ventricular
- coronary artery disease
- patient reported outcomes
- heart failure
- aortic dissection