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Comment & Response
February 5, 2020

Transcarotid Artery Revascularization With Flow Reversal

Author Affiliations
  • 1Department of General and Vascular Surgery, Central Clinic of Athens, Athens, Greece
JAMA Surg. Published online February 5, 2020. doi:10.1001/jamasurg.2019.5439

To the Editor Fereydooni et al1 reported that carotid endarterectomy (CEA) is preferred over transfemoral carotid artery stenting (CAS) for patients with symptomatic carotid stenosis presenting with crescendo transient ischemic attacks. An emerging alternative to transfemoral CAS briefly mentioned by the authors1 that is gradually becoming popular is transcarotid artery revascularization (TCAR, ie, transcarotid stenting) with dynamic flow reversal.2-4

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