Key result
Transcarotid Artery Revascularization (TCAR) emerges as a safer option for high-risk patients, showing comparable results to Carotid Endarterectomy and better outcomes than Transfemoral Stenting.
Why the study?
Decision-making for carotid revascularization is complex and influenced by medical comorbidities and anatomic factors, prompting an evaluation of the best treatment technique.
How do carotid endarterectomy, transfemoral carotid artery stenting, and transcarotid artery revascularization compare for treating carotid disease?
How do carotid endarterectomy, transfemoral carotid artery stenting, and transcarotid artery revascularization compare for treating carotid disease?
TCAR is highlighted as a safer, minimally invasive alternative for high-risk patients with carotid disease, offering comparable results to the gold standard CEA and better outcomes than TFCAS.
This is a comprehensive review of carotid artery revascularization techniques: Carotid Endarterectomy (CEA), Transfemoral Carotid Artery Stenting (TFCAS), and Transcarotid Artery Revascularization (TCAR). CEA is the gold standard and is particularly effective in elderly and high-risk patients. TFCAS, introduced as a less invasive alternative, poses increased periprocedural stroke risks. TCAR, which combines minimally invasive benefits with CEA's neuroprotection principles, emerges as a safer option for high-risk patients, showing comparable results to CEA and better outcomes than TFCAS. The decision-making process for carotid revascularization is complex and influenced by the patient's medical comorbidities and anatomic factors.
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Abdelkarim et al. (2024) conducted a review in Carotid Disease. Carotid artery revascularization techniques (CEA, TFCAS, TCAR) was evaluated. Transcarotid Artery Revascularization (TCAR) emerges as a safer option for high-risk patients, showing comparable results to Carotid Endarterectomy and better outcomes than Transfemoral Stenting.
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