TransCarotid Artery Revascularization (TCAR)

The new TCAR Procedure (TransCarotid Artery Revascularization) draws upon proven surgical techniques to protect the brain from stroke risk during carotid artery stenting. It allows physicians to deliver a stent directly from the neck, which is intended to avoid complications associated with starting from the femoral artery in the groin, which is typically used in carotid artery stenting procedures. To provide protection for the patient’s brain during the entire procedure, the ENROUTE® Transcarotid Neuroprotection System* temporarily reverses blood flow in order to move any debris away from the brain.

 *Caution: Federal (U.S.) law restricts this device to sale by or on the order of a physician.


It’s All About Stroke

A potential complication of stenting for carotid artery disease is a stroke during the procedure itself. A stroke can be caused by plaque that is inadvertently dislodged. There are two ways plaque can dislodge.

Microembolism Matters

The Silk Road Procedure is designed to protect the brain from most sizes and types of emboli. Small emboli, not large enough to cause a major stroke, can still cause a small brain infarction and impact cognitive function.

Endovascular Advantage

The Silk Road procedure requires a smaller incision than traditional carotid artery surgery (CEA) and can be performed using local anesthesia. Local anesthesia only requires medicating the local area of treatment,