Abstract
Retrospective, single-center review between May 31, 2018, and February 12, 2020. Almost half (43/97) of transcarotid artery revascularizations (TCARs) at this institution for symptomatic and asymptomatic disease were performed in patients ≥80 years old. Technical success was achieved in all cases without any major complications after 30 days, such as perioperative stroke, myocardial infarction, cranial nerve injury, or mortality. Although there were no significant differences in procedure time, flow reversal time, or fluoroscopy time of patients younger or older than 80 years, median length of stay was significantly longer for octogenarians (2 days vs 1 day). TCAR can be successfully performed in both symptomatic and asymptomatic high-risk elderly patients with a very low incidence of perioperative cerebral ischemic event, myocardial infarction, or death.
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