Abstract
Transcarotid artery revascularization (TCAR) is a novel and attractive alternative to carotid endarterectomy (CEA) or transfemoral carotid artery stenting for interventional treatment of carotid artery stenosis in high-risk patients. In a direct carotid approach, TCAR uses temporary reversal of cerebral arterial blood flow to offer neuroprotection from emboli during stent placement. At present, the optimal surgical management for high-risk patients is unknown. We aimed to evaluate the 1-year safety and efficacy of TCAR in a prospective clinical trial.
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