Transcarotid artery revascularization in blunt carotid injury.

Authors :: Walker PF
Guntur GC
Lalchandani P
Morrison JJ
Kundi R
Source :: Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2022 Dec 05; Vol. 9 (2), pp. 101073. Date of Electronic Publication: 2022 Dec 05 (Print Publication: 2023).
Publication Year :: 2022
Abstract: 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.<br />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.<br />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.<br />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.<br /> (© 2022 The Author(s).)