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Temporary Reversal of Blood Flow During Transcarotid Artery Revascularization Does Not Change Brain Electrical Activity in Lead-In Cases of the ROADSTER 1 Multicenter Trial.

Alexander H KingRaghu L MotaganahalliAdnan SiddiquiBrian DeRubertisWesley S MoorePaul DiMuzioMatthew A EccherVikram S Kashyap
Published in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2018)
Temporary reversal of blood flow during TCAR is a safe maneuver and does not cause cerebral ischemia in the vast majority of patients, including those with contralateral carotid occlusion. Carotid stenting performed with reversed blood flow mitigates cerebral embolization and periprocedural stroke without concern for brain ischemia.
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