Transcarotid Artery Revascularization—What the Imaging Specialist Needs to Know

Transcarotid artery revascularization (TCAR) is a novel hybrid surgical and endovascular procedure that uses common carotid artery access via surgical exposure to stent an internal carotid artery stenosis. TCAR is increasingly used due to its lower risk of periprocedural stroke compared to transfemoral carotid artery stenting. We review the pre‐operative imaging workup as well as normal post‐operative imaging findings following TCAR. We also review complications following TCAR, which include immediate complications related to access site injury (hematoma, dissection, pseudoaneurysm and thrombosis) as well as more delayed complications such as intra‐stent restenosis.