Transcarotid Artery Revascularization (TCAR) | Norton Healthcare Louisville, Ky.

Transcarotid Artery Revascularization (TCAR)

Norton Healthcare offers a team of providers who are pioneers in the use of a cutting-edge technology called transcarotid artery revascularization (TCAR). We have three hospital facilities designated by Silk Road Medical as TCAR Centers of Excellence.

What Is Transcarotid Artery Revascularization?

Transcarotid artery revascularization (TCAR) is a procedure to treat patients with carotid artery disease who would be at higher risk during open surgery. Carotid artery disease is a condition in which a patient has blockages in one or both of their neck arteries. These arteries are major blood vessels that supply blood to the brain, neck and face.

While any repair of the carotid artery carries some risk of causing a stroke because of the repair itself, TCAR was designed to help minimize that risk by keeping potential stroke-causing fragments away from the brain. Like the open surgery, carotid endarterectomy (CEA), this new procedure involves direct access to the carotid artery, but through a much smaller incision at the neckline just above the clavicle instead of a longer incision on the neck. During the TCAR procedure, a tube inserted into the carotid artery is connected to a system that temporarily directs blood flow away from the brain to protect against dangerous debris reaching the brain during the procedure. Surgeons then filter the blood before returning it to a vein in the groin, and a stent is implanted directly into the carotid artery to stabilize the plaque and prevent future strokes. The entire procedure is performed in less than half the time of CEA — limiting the stress on the heart and significantly lowering the risk of the patient having a stroke or heart attack during the procedure.

Why Choose Norton Healthcare for Your TCAR Procedure?

Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital all were named 2019 TCAR Centers of Excellence for improving carotid artery disease treatment using the TCAR procedure. This distinction recognizes hospitals across the country that have embraced the TCAR procedure and have demonstrated excellent patient outcomes through appropriate patient selection and well-trained and credentialed specialists.

This designation, paired with the expertise of an experienced team of vascular surgeons and neurosurgeons, provides patients access to the latest in technology and capabilities when they need it most.

What Are Some of the Benefits of the TCAR Procedure?

  • Smaller incision and scarring
  • Lowest stroke rate of clinical studies to date
  • Temporary reversal of blood flow to reduce risk of debris entering the brain and creating a procedural stroke
  • Filtering any loose material from the artery to protect against plaque that may come loose during the procedure
  • Minimized procedure times and recovery
  • Implanted stent in the carotid artery protects patients from future stroke risk

Heart and Vascular Care for the Whole Person

Norton Heart & Vascular Institute offers patient resources to support you and your family, including free classes for men and women of all ages seeking to improve cardiovascular health or living with a heart condition.

Cardiac Rehabilitation Program

Our cardiac rehabilitation providers are leaders in developing and applying innovative techniques that can help you recover and resume your life.

Connecting Hearts Support Group

The group provides education and support to men and women after a heart attack, living with a heart condition or at risk for cardiovascular disease.

Heart Health Screenings

Prevention is the best way to manage heart disease, and screenings are available to detect early signs of cardiac and vascular disease and identify risk factors.

Classes and Events

Norton Heart & Vascular Institute offers classes about once a week on a broad range of heart health topics including cooking classes, atrial fibrillation (A-fib) and heart failure education workshops, and more.

Norton Healthcare Heart and Vascular Institute

About Norton Heart & Vascular Institute

Norton Heart & Vascular Institute specialists treat more people for heart and vascular care — about 250,000 every year — than any other provider in Louisville and Southern Indiana.

  • Norton Healthcare’s four adult-service hospitals are American College of Cardiology accredited Cycle VI Chest Pain Centers — the highest level of expertise to evaluate, diagnose and treat patients who may be experiencing a heart attack.
  • We have more than 50 board-certified cardiovascular physicians and 35 advanced practice providers. Through training and years of experience, they specialize in areas such as cardiologyinterventional cardiologycardiothoracic surgeryelectrophysiologyadvanced heart failure and vascular surgery.
  • We offer same-day new patient appointments.
  • We have 27 locations in Louisville and Southern Indiana. Telecardiology is offered at more than 30 clinical sites in the region.
  • We have the experience, expertise and easy access you’d expect from the largest cardiovascular care provider in Kentucky.
  • Norton Healthcare is the only health care system in Kentucky to receive the prestigious Mission Lifeline: Regional Trailblazer Award from the American Heart Association for being an innovator in creating a system of care for ST elevation myocardial infarction (STEMI) heart attacks —  the most severe type of heart attack.
Heart & Vascular – 8300

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