Transcarotid Artery Revascularization (TCAR)

This is an advanced way to deliver a stent into a blocked carotid artery. TCAR is an option for patients with carotid artery disease who are considered high-risk for conventional carotid endarterectomy (CEA). The first TCAR in Louisiana was performed in the hybrid surgical suite at the Willis-Knighton Heart & Vascular Institute.

How It Works

  • Performed through small incision above the clavicle
  • Tube placed in the carotid artery
  • System temporarily redirects blood flow and bits of plaque away from the brain
  • Blood flows through the TCAR system where any plaque debris is filtered out
  • Filtered blood is returned through a tube in the groin/thigh area
  • Carotid stent is implant to help keep the artery open, preventing strokes
  • System is turned off and blood flow returns


  • Reduced risk of stroke
  • Minimally invasive
  • Smaller incision
  • Shorter procedure
  • Shorter hospital stay and recovery
  • Clinically-proven option for patients who are at risk with a traditional carotid endarterectomy due to age, medical condition or anatomical issues.