TransCarotid Artery Revascularization

We specialize in treating a wide array of venous disorders, utilizing our four non-invasive vascular.

What is TCAR?

TCAR is a patient-friendly, endovascular procedure that incorporates the neuroprotection principles of CEA. It utilizes the ENROUTE ® Transcarotid Neuroprotection System to temporarily reverse blood flow away from the brain, collecting any potential debris in the device filter, before returning the blood to a vessel in the leg. With reverse flow neuroprotection established, the ENROUTE ® Transcarotid Stent is then implanted in the lesion for long-term plaque stabilization and stroke prevention.

TCAR is well-suited for patients who are at higher risk of surgical complications, due to age, medical co-morbidities, or anatomical issues. The TCAR Surveillance Project, a quality initiative led by the Society of Vascular Surgeons, has established Medicare coverage and reimbursement for symptomatic and asymptomatic patients

TCAR – Procedure Details

A small incision is made just above the collar bone to expose the common carotid artery. A soft, flexible sheath is placed directly into the carotid artery and connected to a system that will reverse the flow of blood away from the brain to protect against fragments of plaque that may come loose during the procedure. The blood is filtered and returned through a second sheath placed in the femoral vein in the patient’s thigh. The Neuroprotection system allows balloon angioplasty and stenting to be performed while blood flow is reversed. After the stent is placed successfully to stabilize the plaque in the carotid artery, flow reversal is turned off and blood flow to the brain resumes in its normal direction.

Carotid Disease

Play Video


It is important to follow your physician’s instructions for medications before and after this procedure. Drink plenty of water before midnight the day before your procedure. Should you be told otherwise please consult with your physician right away.


  • Most patients are able to go home the day following the procedure
  • You may experience some pain after this procedure, but it should be minimal
  • Follow all your physician’s instructions for taking care of your incision site
  • If you experience unusual headaches, dizziness or other unusual symptoms, call the physician whoperformed your procedure immediately or dial 911



Designed as a picture aid for describing TCAR and CEA


Images of carotid disease, TCAR & CEA scar, and the NPS


Easily annotated by physician, gives the ability to enter DAPT requirements and to patients over email in a PDF or in the post.