What is the crest study?

Stenting Trial (CREST) was to compare the outcomes of carotid-artery stenting with those of carotid endarterectomy among patients with symptomatic or asymptomatic extracranial carotid stenosis.

What is CREST2 trial?

The CREST2 trial is designed to determine if these medical advances have improved enough to obviate the need for revascularization in patients with asymptomatic carotid stenosis. The medical management strategy in CREST2 uses a multimodal approach to risk factor control to provide cutting-edge medical care.

How is carotid endarterectomy diagnosed?

You’ll usually have an ultrasound scan first to check if there’s any narrowing in your arteries and determine whether it’s severe enough for you to benefit from having surgery. If your arteries are narrowed, you may need to have further tests to confirm the diagnosis, such as a CTA or MRA.

What are the indications for carotid endarterectomy?

In symptomatic good-risk patients with surgical morbidity and mortality (stroke and death) of less than 6%, proven indications for CEA include the following: One or more transient ischemic attacks (TIAs) in the preceding 6 months and carotid artery stenosis exceeding 50%

What does tcar mean?

Transcarotid Artery Revascularization (TCAR) is a clinically proven, minimally invasive procedure to treat carotid artery disease and help prevent future strokes.

What is Transcarotid artery revascularization?

What Is Transcarotid Artery Revascularization (TCAR)? TCAR is a minimally invasive procedure that can clear blockages and open a narrowed carotid artery. The surgeon makes an incision over the common carotid artery to perform the repair.

Is carotid artery surgery a major surgery?

Carotid artery surgery is major surgery with risks and potential complications. You may have less invasive treatment options.

Is carotid endarterectomy a high risk surgery?

CEA can be safely performed in patients deemed at high risk, including those aged 80 years or older and others with significant comorbid conditions, with combined stroke and mortality rates comparable to those found in randomized trials, ie, the Asymptomatic Carotid Atherosclerosis Study and the North American …

Is carotid artery surgery considered major surgery?

Who is a good candidate for carotid endarterectomy?

In conclusion, patients with mild to moderate intracranial disease and severe symptomatic extracranial stenosis are ideal candidates for carotid endarterectomy.

What is the difference between tcar and carotid endarterectomy?

TCAR and transfemoral carotid angioplasty and stenting are both minimally invasive alternatives to carotid endarterectomy. The major difference between the two is that TCAR uses advanced technology to reverse blood flow away from your brain during the ballooning and stenting procedure.

Who is candidate for tcar procedure?

Who should be considered for the TCAR procedure? TCAR is recommended for patients who are considered high risk for traditional surgery due to age, anatomic issues and other medical conditions.