TransCarotid Artery Revascularization (TCAR)
Palm Beach Health Network is the first in South Florida to treat carotid artery disease and prevent future strokes using a new procedure called TransCarotid Artery Revascularization
(TCAR). TCAR (tee-kahr) is a clinically proven, minimally invasive and safe approach for high surgical risk patients who need carotid artery treatment.
Carotid artery disease is a form of atherosclerosis, or a buildup of plaque, in the two main arteries in the neck that supply oxygen-rich blood to the brain. If left untreated, carotid artery disease can often lead to stroke; it is estimated to be the
source of stroke in up to a third of cases, with 400,000 new diagnoses of the disease made every year in the U.S. alone.
TCAR is unique in that blood flow is temporarily reversed during the procedure so that any small bits of plaque that may break off are diverted away from the brain, preventing a stroke from happening. A stent is then placed inside the artery to stabilize
the plaque, minimizing the risk of a future stroke.
Prior to TCAR, the main treatment option for severe carotid artery disease was an open surgical procedure called carotid endarterectomy (CEA). CEA removes plaque from inside the carotid artery to restore normal blood flow to the brain, but the large incision
leaves a visible scar the length of the neck and carries risks of surgical complications, including bleeding, infection, heart attack and cranial nerve injuries that can cause issues with swallowing, speaking and sensation in the face.
The TCAR procedure was developed by Sunnyvale, California-based Silk Road Medical, Inc. and includes the ENROUTE® Transcarotid Neuroprotection (NPS) and Stent System – the first devices designed and FDA-approved specifically for TCAR. Over 4,000
TCAR procedures have been performed worldwide through clinical trial and commercial use. TCAR has been studied extensively, and the clinical data have been excellent.
What is Carotid Artery Disease?
Carotid Artery Disease is a build-up of plaque in the two main arteries in the neck that supply oxygen-rich blood to the brain.
Who is at Risk for Carotid Artery Disease?
- Those with High Blood Pressure/High Cholesterol
- Overweight or Obese Individuals
- Family History
- Older Age
- People who live a Sedentary Lifestyle
87% of Strokes Are Caused by Blocked Arteries:
Over time, if not treated, plaque hardens and narrows the arteries, which can limit oxygen to the brain and cause a stroke. Nearly 800,000 people have a stroke in the United States every year.
A Stroke can Cause:
- Lasting Brain Damage
- Long-Term Disability – Vision and Speech Issues, or Paralysis
New Treatment for Carotid Artery Disease – Reduces Risk of Stroke:
Delray Medical Center and Palm Beach Gardens Medical Center are one of the first hospitals in Palm Beach County to offer TCAR, or TransCarotid Artery Revascularization, as a new, minimally invasive treatment option for high-risk patients suffering from Carotid Artery Disease. You may be a candidate for TCAR, which helps repair clogged carotid arteries and reduce the risk of stroke.
TCAR Potential Benefits:
- Helps prevent stroke
- Lower complication risk than a traditional Carotid Endarterectomy
- Minimally invasive
- Shorter hospital stay
- Faster recovery time
- Cosmetic – smaller incision