Optimal Cerebral Protection Confirmed by Transcranial Doppler During Transcarotid Artery Revascularization
Transcarotid artery revascularization (TCAR) is a novel method to treat severe stenosis of the carotid artery with minimal embolization. During TCAR, flow reversal system redirects blood from the internal, external, and common carotid arteries into the femoral vein through a filter system to prevent...
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| Language: | English |
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Houston Methodist DeBakey Heart & Vascular Center
2024-12-01
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| Series: | Methodist DeBakey Cardiovascular Journal |
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| Online Access: | https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1465 |
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| author | Reka Vernes Adam Bardoczi Alan B. Lumsden Zsolt F. Garami |
| author_facet | Reka Vernes Adam Bardoczi Alan B. Lumsden Zsolt F. Garami |
| author_sort | Reka Vernes |
| collection | DOAJ |
| description | Transcarotid artery revascularization (TCAR) is a novel method to treat severe stenosis of the carotid artery with minimal embolization. During TCAR, flow reversal system redirects blood from the internal, external, and common carotid arteries into the femoral vein through a filter system to prevent debris and microparticles from entering the cerebral circulation. Transcranial Doppler (TCD) monitoring allows real-time detection of blood flow in the cerebral arteries during the operation and informs the surgeon of flow changes or possible emboli. With this information, the steps and maneuvers during the procedure and the function of the flow reversal system can be further improved to avoid stroke or other neurological complications. In this case study, we present a TCAR procedure with TCD monitoring in an asymptomatic male patient exhibiting severe left-sided internal carotid artery stenosis. Optimal cerebral protection was achieved due to the neuroprotective flow reversal system of TCAR. |
| format | Article |
| id | doaj-art-0f4cc29499bb490c94a712cee70b980f |
| institution | OA Journals |
| issn | 1947-6108 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Houston Methodist DeBakey Heart & Vascular Center |
| record_format | Article |
| series | Methodist DeBakey Cardiovascular Journal |
| spelling | doaj-art-0f4cc29499bb490c94a712cee70b980f2025-08-20T02:22:17ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082024-12-0120110611210.14797/mdcvj.14651443Optimal Cerebral Protection Confirmed by Transcranial Doppler During Transcarotid Artery RevascularizationReka Vernes0Adam Bardoczi1https://orcid.org/0009-0007-7567-1078Alan B. Lumsden2Zsolt F. Garami3https://orcid.org/0009-0003-9819-6231Houston Methodist Hospital, Houston, TexasHouston Methodist Hospital, Houston, TexasHouston Methodist Hospital, Houston, Texas; Vascular Ultrasound Laboratory, Houston Methodist DeBakey Heart & Vascular Center, Houston, TexasHouston Methodist Hospital, Houston, Texas; Vascular Ultrasound Laboratory, Houston Methodist DeBakey Heart & Vascular Center, Houston, TexasTranscarotid artery revascularization (TCAR) is a novel method to treat severe stenosis of the carotid artery with minimal embolization. During TCAR, flow reversal system redirects blood from the internal, external, and common carotid arteries into the femoral vein through a filter system to prevent debris and microparticles from entering the cerebral circulation. Transcranial Doppler (TCD) monitoring allows real-time detection of blood flow in the cerebral arteries during the operation and informs the surgeon of flow changes or possible emboli. With this information, the steps and maneuvers during the procedure and the function of the flow reversal system can be further improved to avoid stroke or other neurological complications. In this case study, we present a TCAR procedure with TCD monitoring in an asymptomatic male patient exhibiting severe left-sided internal carotid artery stenosis. Optimal cerebral protection was achieved due to the neuroprotective flow reversal system of TCAR.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1465transcarotid artery revascularization (tcar)carotid revascularizationtranscranial dopplercerebral embolistroke |
| spellingShingle | Reka Vernes Adam Bardoczi Alan B. Lumsden Zsolt F. Garami Optimal Cerebral Protection Confirmed by Transcranial Doppler During Transcarotid Artery Revascularization Methodist DeBakey Cardiovascular Journal transcarotid artery revascularization (tcar) carotid revascularization transcranial doppler cerebral emboli stroke |
| title | Optimal Cerebral Protection Confirmed by Transcranial Doppler During Transcarotid Artery Revascularization |
| title_full | Optimal Cerebral Protection Confirmed by Transcranial Doppler During Transcarotid Artery Revascularization |
| title_fullStr | Optimal Cerebral Protection Confirmed by Transcranial Doppler During Transcarotid Artery Revascularization |
| title_full_unstemmed | Optimal Cerebral Protection Confirmed by Transcranial Doppler During Transcarotid Artery Revascularization |
| title_short | Optimal Cerebral Protection Confirmed by Transcranial Doppler During Transcarotid Artery Revascularization |
| title_sort | optimal cerebral protection confirmed by transcranial doppler during transcarotid artery revascularization |
| topic | transcarotid artery revascularization (tcar) carotid revascularization transcranial doppler cerebral emboli stroke |
| url | https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1465 |
| work_keys_str_mv | AT rekavernes optimalcerebralprotectionconfirmedbytranscranialdopplerduringtranscarotidarteryrevascularization AT adambardoczi optimalcerebralprotectionconfirmedbytranscranialdopplerduringtranscarotidarteryrevascularization AT alanblumsden optimalcerebralprotectionconfirmedbytranscranialdopplerduringtranscarotidarteryrevascularization AT zsoltfgarami optimalcerebralprotectionconfirmedbytranscranialdopplerduringtranscarotidarteryrevascularization |