News | Stroke | July 01, 2022

Memorial Cardiac and Vascular Institute was the 1st in Broward County to Treat Carotid Artery Disease with TCAR Procedure

A medical milestone in 2021 was the first TransCarotid Artery Revascularization (TCAR) at Memorial Regional Hospital. The innovative, minimally-invasive procedure prevents strokes in high-risk surgical patients with advanced coronary disease 

Dr. Sean O'Donnell (left) and Dr. Brijesh Mehta perform the first TCAR procedure in Broward County in 2021.

Dr. Sean O'Donnell (left) and Dr. Brijesh Mehta perform the first TCAR procedure in Broward County in 2021. 


July 1, 2022 — The carotid artery in 81-year-old Reynold Zamora’s neck was nearly completely blocked with plaque, impeding the flow of blood to his brain, and significantly increasing the odds the Southwest Ranches resident would suffer a stroke. A carotid endarterectomy (CEA) has traditionally been the recommended intervention, but Mr. Zamora’s age and a recent bout with COVID-19 meant he wasn’t a realistic candidate for the surgical procedure. 

The news, however, was far from bleak for Mr. Zamora, since the Memorial Cardiac & Vascular Institute was ready to perform its first TransCarotid Artery Revascularization (TCAR), an innovative and minimally-invasive procedure designed to prevent strokes in high-risk surgical patients with advanced coronary disease. 

“This approach is unique in that blood flow is temporarily reversed during the procedure, ensuring any small bits of plaque that break off while the obstruction is overcome are diverted away from the brain, preventing a potential stroke,” said Dr. Sean O’Donnell, medical director of Vascular and Endovascular Surgery at Memorial Cardiac & Vascular Institute. “We then place stents inside the artery to stabilize the remaining plaque and minimize the risk of a future stroke.” 

The TCAR procedure is performed by directly accessing the carotid artery through a small incision at the neckline, just above the clavicle. In addition to providing a viable option for those who aren’t willing or able to undergo CEA, there is less scarring, risk of post-surgical complications, and recovery time. 

“I had a 99% blockage and was very lucky not to have had a stroke,” said Zamora. “To be able to have this procedure, walk immediately after, and go home the next day was a blessing.” 

More than 400,000 new cases of carotid artery disease are diagnosed each year in the U.S. alone. It is estimated to cause nearly a third of all strokes. 

“Mr. Zamora’s procedure was a collaboration between our vascular and neurointerventional surgical teams,” said Dr. Brijesh Mehta, medical director of the Comprehensive Stroke Program and Neurointerventional Surgery at Memorial Neuroscience Institute. “The value of this multi-disciplinary approach was in reviewing the clinical information and imaging studies as a team to decide the most appropriate strategy for opening up the carotid artery. This approach results in the best outcomes for patients with this particular disease.” 

That has certainly been the case for Broward County’s first TCAR patient. “I feel 100% better, like a new man,” said Mr. Zamora. 

 

For more information: http://www.memorialcardiac.com 

Related Content

News | Stents Carotid

August 3, 2022 — Research from Ochsner Health published in the Journal of the American College of Cardiology is likely ...

Home August 03, 2022
Home
News | Stents Carotid
February 28, 2022 – InspireMD, Inc., a global developer of the CGuard Embolic Prevention Stent System (EPS) device for ...
Home February 28, 2022
Home
News | Stents Carotid

January 5, 2022 – A cost-effectiveness model based on peer-reviewed sources suggests that although five-year costs for ...

Home January 05, 2022
Home
News | Stents Carotid

October 15, 2021 — The InspireMD CGuard Embolic Prevention Stent System (EPS) device for the treatment of carotid artery ...

Home October 15, 2021
Home
News | Stents Carotid

November 11, 2019 — Although common femoral artery (CFA) endarterectomy is still considered the gold standard treatment ...

Home November 11, 2019
Home
News | Stents Carotid

June 13, 2019 — Silk Road Medical Inc. announced the presentation of real-world data for the treatment of patients with ...

Home June 13, 2019
Home
News | Stents Carotid

July 30, 2018 — Silk Road Medical Inc. recently announced the presentation of real-world data for the treatment of ...

Home July 30, 2018
Home
News | Stents Carotid

November 18, 2016 — InspireMD Inc. announced in mid-October the online publication of positive clinical data in a new ...

Home November 18, 2016
Home
News | Stents Carotid

October 13, 2016 — A surveillance project to evaluate the safety and effectiveness of transcarotid artery ...

Home October 13, 2016
Home
Feature | Stents Carotid

July 13, 2015 - Hospitals performing carotid artery stenting vary considerably in rates of in-hospital stroke or death ...

Home July 13, 2015
Home
Subscribe Now