Mobile Infirmary is the first hospital in south Alabama to provide TCAR

Wednesday, May 2, 2018
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Mobile Infirmary is the first hospital in south Alabama to provide transcarotid artery revascularization (TCAR) method of carotid stenting.

The procedure was performed by Glenn Esses, M.D., vascular surgeon, Vascular Center of Mobile.

TCAR is a new treatment option for carotid artery disease that prevents stroke during the procedure by temporarily reversing blood flow in the carotid artery. This prevents debris from traveling to the brain and causing a stroke. During the procedure, physicians implant a stent to treat the blockage and lower the patient's risk of future stroke. After the stent is placed successfully to stabilize the plaque in the carotid artery, flow reversal is turned off and blood flow to the brain resumes in its normal direction.

The carotid arteries are major blood vessels located on either side of the neck that deliver blood to the brain. When a person checks their pulse by touching their neck, they're feeling one of the carotid arteries. Carotid artery disease occurs when a blockage forms in one or both of these arteries that decreases blood flow to the brain, which can lead to a stroke.

Physicians treat this condition using angioplasty, or carotid stenting, to open up the artery and remove the blockage. One of the common risks of the procedure is stroke because of blood clots that may form on the catheters breaking loose or plaques in the artery becoming dislodged and traveling to the brain. Traditionally, blood thinners are given during the procedure to reduce this risk.

TCAR is a clinically proven procedure that combines surgical principles of neuroprotection with minimally invasive endovascular techniques to treat blockages in the carotid artery at risk of causing a stroke.