Abstract
Transcarotid artery revascularization (TCAR) has demonstrated short- and intermediate-term outcomes comparable to those with carotid endarterectomy (CEA) and is a good alternative for patients with contraindications to open revascularization. However, the lesion must be >5 cm away from the clavicle and the common carotid artery (CCA) must be relatively free of disease. The use of a prosthetic conduit has allowed for expanded use of TCAR in patients with unfavorable CCA anatomy (Figs 1 and 2). However, the feasibility, safety, and intermediate durability of this technique remain unknown.
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