Abstract
Transcarotid revascularization (TCAR) is a minimally invasive alternative for patients considered high risk for carotid endarterectomy. The Society for Vascular Surgery and European Society for Vascular Surgery guidelines recommend performing carotid endarterectomy within 14 days of symptoms to balance perioperative risk with recurrent stroke risk. However, no studies have evaluated the association between TCAR timing and outcomes. The purpose of this study is to utilize the Vascular Quality Initiative, a national database, to evaluate the impact of timing of TCAR on perioperative risk and long-term outcomes.
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