Surgery is indicated when a person has mini-strokes called transient ischemia attacks (TIAs) or very high-grade narrowing of the artery with no symptoms. There are multiple options for repair. Our highly experienced surgeons will work with you to determine the best procedure to treat your carotid stenosis.
CEA is the surgical removal of plaque (calcium and cholesterol buildup) from the carotid artery, a major blood supply to your brain. There’s one carotid artery on either side of your neck. Blood flow inside your carotid arteries can slow down or stop when plaque and clot collects in the artery walls. Alternatively, plaque or blood clots can be released from the carotid artery and travel to your brain; a common cause of stroke (CVA or TIA) in the United States. CEA can significantly reduce an individual’s risk for stroke.
Trans Carotid Artery Revascularization (TCAR) is a modern, innovative, highly successful and effective alternative to CEA. During the procedure, a small incision is made just above the collar bone to expose the carotid artery. A soft, flexible tube (sheath) is placed directly into the carotid artery and connected to a neuroprotection filtration system that will temporarily reverse blood flow away from the brain to protect against fragments of plaque or clots that may become loose during the procedure. Blood is continuously filtered and returned through a second sheath placed in the femoral vein in the groin. This technique allows balloon angioplasty and stenting to be performed safely while the brain is being protected. Once the stent is placed successfully it works to stabilize the plaque in the carotid artery preventing future stroke. Afterwards the flow reversal system is turned off and blood flow to the brain resumes normally. The small hole in the artery is repaired with a few stitches.
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