TY - JOUR
T1 - Transcarotid artery revascularization in blunt carotid injury
AU - Walker, Patrick F.
AU - Guntur, Grahya C.
AU - Lalchandani, Priti
AU - Morrison, Jonathan J.
AU - Kundi, Rishi
N1 - Funding Information:
The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.
Publisher Copyright:
© 2022 The Author(s)
PY - 2023/6
Y1 - 2023/6
N2 - Introduction: Transcarotid artery revascularization (TCAR) with flow reversal has substantially changed the management of carotid artery stenosis, enabling an endovascular approach with a periprocedural stroke rate as low as or lower than that of open carotid surgery. The use of TCAR for blunt carotid artery injury has not yet been described. Methods: A review of the use of TCAR for blunt carotid artery injury was performed at a single center from October 2020 to August 2021. The patient demographics, mechanism of injury, and outcomes were collected and compared. Results: Ten carotid stents were placed via TCAR in eight patients for hemodynamically significant blunt carotid artery injuries. No periprocedural neurologic events occurred, and all stents remained patent during short-term follow-up. Conclusions: TCAR is feasible and safe in the management of significant blunt carotid artery injuries. More data are needed regarding the long-term outcomes and ideal surveillance intervals.
AB - Introduction: Transcarotid artery revascularization (TCAR) with flow reversal has substantially changed the management of carotid artery stenosis, enabling an endovascular approach with a periprocedural stroke rate as low as or lower than that of open carotid surgery. The use of TCAR for blunt carotid artery injury has not yet been described. Methods: A review of the use of TCAR for blunt carotid artery injury was performed at a single center from October 2020 to August 2021. The patient demographics, mechanism of injury, and outcomes were collected and compared. Results: Ten carotid stents were placed via TCAR in eight patients for hemodynamically significant blunt carotid artery injuries. No periprocedural neurologic events occurred, and all stents remained patent during short-term follow-up. Conclusions: TCAR is feasible and safe in the management of significant blunt carotid artery injuries. More data are needed regarding the long-term outcomes and ideal surveillance intervals.
KW - Blunt cerebrovascular injury
KW - Transcarotid artery revascularization
UR - http://www.scopus.com/inward/record.url?scp=85150895605&partnerID=8YFLogxK
U2 - 10.1016/j.jvscit.2022.10.021
DO - 10.1016/j.jvscit.2022.10.021
M3 - Article
AN - SCOPUS:85150895605
SN - 2468-4287
VL - 9
JO - Journal of Vascular Surgery Cases and Innovative Techniques
JF - Journal of Vascular Surgery Cases and Innovative Techniques
IS - 2
M1 - 101073
ER -