bandage-green

Transcarotid Artery Revascularization (TCAR)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head slightly extended, head turned away from field
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Approach-dependent
Blocks : Superficial Cervical Plexus
Considerations : Arterial line, Fluoroscopy / Xray, PONV, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1MAC, Local Anesthetic, Nerve Block
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Incision — Small supraclavicular incision to access the common carotid artery ( CCA ) directly — avoids crossing the aortic arch, reducing embolic risk vs. transfemoral carotid stenting. NPS...

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