TCAR: an advanced solution to carotid artery disease

You have two carotid arteries located on either side of your neck. These arteries are essential for carrying oxygen-rich blood from your heart to your brain, face and neck. When one is blocked or narrowed, you can develop a condition known as carotid artery disease.

Carotid artery disease increases your risk of stroke, but a procedure called transcarotid artery revascularization (TCAR) can lower your risk and prevent blood clots. The TCAR procedure requires smaller incisions than traditional surgeries for carotid artery disease. It may be an option even if you are at a high risk of complications from open surgery.

Smiling woman walking outside on a sunny day, considering TCAR surgery for her carotid artery disea

Treating carotid artery disease with TCAR

Carotid artery disease occurs when fatty plaque builds up along the walls of one of your carotid arteries. This buildup causes the artery to narrow, reducing blood flow to the brain. Plaque can also break off and form clots. Any reduced or blocked blood flow to the brain can cause a stroke.

A TCAR procedure can open narrowed or blocked arteries and prevent a future stroke.

Vascular surgeon holding a clipboard, smiling at a female patient with carotid artery disease who i

How transcarotid artery revascularization surgery works

TCAR is a minimally invasive procedure, meaning your surgeon performs the surgery through smaller incisions rather than the single large incisions used in traditional open procedures.

Your surgeon will make a small incision in your neck, just above your collarbone, and insert a soft, flexible sheath into your carotid artery.

The sheath is connected to a special system outside your body that reverses your blood flow, moving blood away from your brain. The system filters your blood to remove any plaque fragments that may come loose during the procedure, and your blood re-enters your body through a second incision into one of your leg veins. Finally, your vascular surgeon inserts a stent, a small, expandable tube that is used to open up and support the narrowed artery.

Other options for carotid artery disease

Benefits of TCAR surgery

TCAR offers many benefits over other carotid artery disease surgeries. The TCAR procedure is a less invasive treatment option, which generally offers benefits including:

The procedure also requires less time in the operating room, and you can typically be discharged home sooner.

Male vascular surgeon explaining the successful TCAR surgery to a male patient lying in the operati

What to expect during a TCAR procedure

Before having a TCAR procedure, you’ll receive instructions to help you prepare. As part of your preparations, you will undergo presurgical testing that may include blood tests and imaging scans that allow your surgeon to get a good look at the carotid artery. Your instructions will also include specific guidance about whether to continue taking your current medications and when to take the medications necessary for the procedure, such as blood thinners. You’ll also want to pay careful attention to the instructions about when to begin fasting before your procedure.

Following the procedure, you’ll remain in the hospital for at least a day so your medical team can monitor you for complications. If your recovery goes smoothly, you’ll be discharged home.

When you’re discharged, pay close attention to your instructions. You will want to take special note of the signs of infection you should watch for and what to do if any complications occur. Your discharge instructions from your care team will also let you know when it’s safe to resume normal activities, including work.

Prepare for your surgery

The primary goal of any carotid artery surgery is to protect your long-term health and prevent future strokes. You’ll work with a team of experienced vascular surgeons to determine which procedure will effectively resolve your carotid artery disease.

Find a location near you

Advanced vascular surgeries, including TCAR, are available at our primary heart facilities. You can access comprehensive follow-up care at convenient locations across North and Central Texas. We’ll help you find the location with the expertise you need.

Accepting walk-ins

Baylor Scott & White Clinic - Temple

2401 S 31st St , Temple, TX, 76508

Not accepting walk-ins

Baylor Scott & White Medical Center - Centennial

12505 Lebanon Rd , Frisco, TX, 75035

Accepting walk-ins

Baylor Scott & White Medical Center - Frisco

5601 Warren Pkwy , Frisco, TX, 75034

Accepting walk-ins

Baylor Scott & White Medical Center - Grapevine

1650 W College St , Grapevine, TX, 76051

Accepting walk-ins

Baylor Scott & White Medical Center - Hillcrest

100 Hillcrest Medical Blvd , Waco, TX, 76712

Accepting walk-ins

Baylor Scott & White Medical Center - Irving

1901 N MacArthur Blvd , Irving, TX, 75061

Accepting walk-ins

Baylor Scott & White Medical Center - Lake Pointe

6800 Scenic Dr , Rowlett, TX, 75088

Accepting walk-ins

Baylor Scott & White Medical Center - Lakeway

100 Medical Pkwy , Lakeway, TX, 78738

Accepting walk-ins

Baylor Scott & White Medical Center - Marble Falls

810 W State Hwy 71 , Marble Falls, TX, 78654

Accepting walk-ins

Baylor Scott & White Medical Center - McKinney

5252 W University Dr Highway 380 at Lake Forest Drive, McKinney, TX, 75071

Accepting walk-ins

Baylor Scott & White Medical Center - Plano

4700 Alliance Blvd , Plano, TX, 75093

Accepting walk-ins

Baylor Scott & White Medical Center - Round Rock

300 University Blvd , Round Rock, TX, 78665

Accepting walk-ins

Baylor Scott & White Medical Center - Sunnyvale

231 S Collins Rd , Sunnyvale, TX, 75182

Accepting walk-ins

Baylor Scott & White Medical Center - Temple

2401 S 31st St , Temple, TX, 76508

Accepting walk-ins

Baylor Scott & White Medical Center - Waxahachie

2400 N Interstate 35E , Waxahachie, TX, 75165

Accepting walk-ins

Baylor Scott & White Specialty Clinic - Killeen Hemingway

2405 S Clear Creek Rd , Killeen, TX, 76549

Not accepting walk-ins

Baylor Scott & White Specialty Clinic - Lakeway

200 Medical Pkwy , Lakeway, TX, 78738

Not accepting walk-ins

Baylor Scott & White The Heart Hospital - Dallas

621 N Hall St , Dallas, TX, 75226

Accepting walk-ins

Baylor Scott & White The Heart Hospital - Denton

2801 S Mayhill Rd , Denton, TX, 76208

Accepting walk-ins

Baylor Scott & White The Heart Hospital - Fort Worth

1400 8th Ave Bldg A, 6th Floor, Fort Worth, TX, 76104

Accepting walk-ins

Baylor Scott & White The Heart Hospital - McKinney

5268 W University Dr , McKinney, TX, 75071

Accepting walk-ins

Baylor Scott & White The Heart Hospital - Plano

1100 Allied Dr , Plano, TX, 75093

Accepting walk-ins

Baylor Scott & White Vascular and Vein Clinic - Austin

2217 Park Bend Dr Ste 230, Austin, TX, 78758

Not accepting walk-ins

Baylor Scott & White Vascular Surgery Specialists - Fort Worth

1250 8th Ave Ste 200, Fort Worth, TX, 76104

Not accepting walk-ins

Baylor Scott & White Vascular Surgery Specialists - Grapevine

2020 W State Hwy 114 Ste 200, Grapevine, TX, 76051

Not accepting walk-ins

Baylor Scott & White Vascular Surgery Specialists - Mansfield

1776 N US 287 Ste 220, Mansfield, TX, 76063

Not accepting walk-ins