Treating Carotid Artery Disease With TCAR

TcarFour vascular surgeons at Jefferson Surgical Clinic are certified to perform TCAR Revascularization, a new procedure to treat patients deemed high risk for traditional carotid surgery.

Each of the following surgeons have been trained on the minimally invasive procedure that combines surgical and endovascular techniques: Colin T. Brandt, M.D., RPVI; Thomas D. Conlee, M.D.; James G. Drougas, M.D., FACS; and William Z. H’Doubler, M.D., FACS.

This ability continues and builds upon Jefferson Surgical’s unparalleled record in the Roanoke Valley of treating carotid artery disease using surgery or endovascular stenting.

TCAR involves placing a small incision at the base of the neck to allow direct access to the carotid artery, which allows for the safer delivery of the stent to the diseased artery. It avoids the complications that can arise from traditional stenting, which involves the delivery of the stent from the groin.

During the TCAR procedure, a soft, flexible sheath is placed directly into the artery and connects to the a stent system, which reverses the flow of blood away from the brain – protecting it from pieces of plaque that may come loose. This blood is filtered and returned through a second sheath placed in the femoral vein in the patient’s thigh.

Balloon angioplasty and stenting can be performed while the blood flow is reversed with the Neuroprotection system. Blood flow returns to the brain as it normally does when the stent is placed and stabilizes the plaque in the carotid artery. TCAR is not meant to replace surgery but rather to be a safer alternative to stent placement in patients deemed high risk for standard surgical repair.

As always, vascular surgeons at Jefferson Surgical Clinic use all modalities of therapy to ensure the safest and best outcomes for our patients.

TCAR Animation Full Length w/ Voice from Silk Road Medical on Vimeo.