【Abstract】Transcarotid artery revascularization (TCAR) is a new type of carotid stenting that not only avoids manipulation of the aortic arch but also effectively reduces the risk of embolic events during carotid interventions through a device or technical system for changing the direction of blood flow to provide protection. Evidence shows that TCAR has a lower risk of stroke or death than transfemoral stenting, and a comparable risk of stroke or death when compared to carotid endarterectomy. In addition, TCAR has the advantages of reducing the risk of myocardial infarction and cranial nerve injury, and shortening procedure time. An increasing body of evidence supports TCAR as a safe, effective, and promising procedure. In this article, we reviewed the surgical procedures, efficacy of different surgical approaches, and learning curve of TCAR.
