ArticleJournal of the American Heart Association2022
Procedural Safety Comparison Between Transcarotid Artery Revascularization, Carotid Endarterectomy, and Carotid Stenting: Perioperative and 1-Year Rates of Stroke or Death.
Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Transcarotid Artery Revascularization for Asymptomatic Carotid Stenosis: A Systematic Review and Meta-Analysis.Translational stroke research · 2026Pooled it
- Comparative safety and efficacy of invasive therapies for carotid artery stenosis: a systematic review and network meta-analysis.Journal of neurointerventional surgery · 2026Pooled it
- Recent advances and controversial issues in the optimal management of asymptomatic carotid stenosis.Journal of vascular surgery · 2024Pooled it
- Utilization of the stop-short technique in transcarotid artery revascularization is associated with intraoperative common carotid artery dissection.Journal of vascular surgery · 2026Article
- Early Diffusion-Weighted Imaging Lesions and Clinical Outcomes after Carotid Artery Stenting in Symptomatic Patients: A Single-Center Retrospective Study.Neurointervention · 2026Article
- Article
- Rethinking the impact of amaurosis with contemporary outcomes of carotid endarterectomy among patients with transient monocular blindness.Journal of vascular surgery · 2026Article
- Impact of the Medicare carotid stenting national coverage determination on procedure utilization and long-term stroke risk after carotid revascularization.Journal of vascular surgery · 2026Article
- Carotid endarterectomy remains a feasible bailout for progressive disease after transcarotid artery revascularization: A case report.Journal of vascular surgery cases and innovative techniques · 2026Article
- Prospective, Multicenter Evaluation of Transcarotid Artery Revascularization in Standard-Risk Patients: 30-Day Outcomes of the ROADSTER 3 Study.Annals of neurology · 2026Article
- The contemporary role for carotid revascularization in older patients.Seminars in vascular surgery · 2026Review
- Relationship Between First Systolic Blood Pressure in the Operating Room and Perioperative Ischemic Stroke in Non-Brain Non-Cardiac Surgical Patients.Journal of clinical hypertension (Greenwich, Conn.) · 2026Article
- Three-year risk of stroke after transcarotid artery revascularization versus carotid endarterectomy among Medicare beneficiaries.Journal of vascular surgery · 2025Article
- Systematic Review of the Discrepancies Between Guideline Recommendations on Carotid Revascularization in Patients with Symptomatic Carotid Artery Disease.Stroke (Hoboken, N.J.) · 2025Article
- Accuracy of posthospitalization stroke detection following carotid revascularization in Medicare claims.Journal of vascular surgery · 2025Article
- Textbook outcomes as a novel patient-centric metric to inform carotid revascularization.Journal of vascular surgery · 2025Article
- Racial Differences in Adoption and Outcomes of Transcarotid Artery Revascularization among High-Risk Adults with Carotid Artery Stenosis.Annals of vascular surgery · 2025Article
- Effectiveness of Transcarotid vs Transfemoral Carotid Stenting for Stroke Prevention.JAMA network open · 2025Article
- What the National Coverage Determination for Carotid Artery Stenting Means for the Treatment of Patients with Carotid Artery Disease.Annals of vascular surgery · 2025Review
- Using machine learning to predict outcomes following transcarotid artery revascularization.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Transcarotid artery revascularization (TCAR) was approved by the Food and Drug Administration in 2015 for patients with carotid artery stenosis. However, no randomized trial to evaluate TCAR has been performed to date, and previous reports have important limitations. Accordingly, we measured stroke or death after TCAR compared with carotid endarterectomy (CEA) and transfemoral carotid artery stenting (TF-CAS). Methods and Results We used the Vascular Quality Initiative registry to study patients who underwent TCAR, CEA, or TF-CAS from September 2016 to June 2021. Our primary outcomes were perioperative and 1-year stroke or death. We used logistic regression for risk adjustment for perioperative outcomes and Cox regression for risk adjustment for 1-year outcomes. We used a 2-stage residual inclusion instrumental variable (IV) method to adjust for selection bias and other unmeasured confounding. Our instrument was a center's preference to perform TCAR versus CEA or TF-CAS. We performed a subgroup analysis stratified by presenting neurologic symptoms. We studied 21 234 patients who underwent TCAR, 82 737 who underwent CEA, and 14 595 who underwent TF-CAS across 662 centers. The perioperative rate of stroke or death was 2.0% for TCAR, 1.7% for CEA, and 3.7% for TF-CAS (
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.