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Southern Association For Vascular Surgery

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Technique for Transcarotid Artery Revascularization (TCAR): How We Do It
Ahmed Ghamraoui, Joseph J Ricotta, II
Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, FL

OBJECTIVES: This video demonstrates our technique of performing transcarotid artery revascularization (TCAR).
METHODS: TCAR is a hybrid procedure for the treatment of carotid artery stenosis that combines the surgical principles of neuroprotection using flow reversal with the minimal systemic impact of an endovascular procedure.
RESULTS: In this video, we describe our methods of performing TCAR from incision to skin closure, including technical tips and perioperative management.
CONCLUSIONS: Our method of performing TCAR improves the technical efficiency, potentially improving outcomes of the procedure.


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