ArticleCirculation. Cardiovascular interventions2023
Adoption and Diffusion of Transcarotid Artery Revascularization in Contemporary Practice.
Article in Circulation. Cardiovascular interventions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis 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
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Transcarotid Artery Revascularization for Asymptomatic Carotid Stenosis: A Systematic Review and Meta-Analysis.Translational stroke research · 2026Pooled it
- Utilization of the stop-short technique in transcarotid artery revascularization is associated with intraoperative common carotid artery dissection.Journal of vascular surgery · 2026Article
- CREST-2 findings are unchanged using an aggregated control group for the CAS and CEA trial.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2026Article
- 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
- The contemporary role for carotid revascularization in older patients.Seminars in vascular surgery · 2026Review
- Comparative outcomes of transfemoral carotid artery stenting versus carotid endarterectomy versus transcarotid artery revascularization in standard- and high-risk patients since the CMS decision in October 2023 using the VQI.Journal of vascular surgery · 2026Article
- Treatment of carotid stenosis: an updated review.Frontiers in stroke · 2026Review
- Article
- Three-year risk of stroke after transcarotid artery revascularization versus carotid endarterectomy among Medicare beneficiaries.Journal of vascular surgery · 2025Article
- Accuracy of posthospitalization stroke detection following carotid revascularization in Medicare claims.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
- Using machine learning to predict outcomes following transcarotid artery revascularization.Scientific reports · 2025Article
- An International, Expert-Based Delphi Consensus Document on Controversial Issues about TransCarotid Artery Revascularization (TCAR).Annals of vascular surgery · 2025Article
- Outcomes following carotid revascularization in patients with prior ipsilateral carotid artery stenting in the Vascular Quality Initiative.Journal of vascular surgery · 2024Article
- Higher stroke risk after carotid endarterectomy and transcarotid artery revascularization is associated with relative surgeon volume ratio.Journal of vascular surgery · 2024Article
- Patient decision-making in the era of transcarotid artery revascularization.Journal of vascular surgery · 2024Article
- Appropriateness of care: Asymptomatic carotid stenosis including transcarotid artery revascularization.Seminars in vascular surgery · 2024Review
- Decision aids for patients with carotid stenosis.Journal of vascular surgery · 2024Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundIn 2015, the FDA approved transcarotid artery revascularization (TCAR) as an alternative to carotid endarterectomy (CEA) and transfemoral carotid artery stenting (TF-CAS) for high-risk patients with carotid stenosis. This was granted in the absence of level 1 evidence to support TCAR. We aimed to document trends in TCAR utilization, its diffusion over time, and the clinical phenotypes of patients undergoing TCAR, CEA, and TF-CAS.
methodsWe used the Vascular Quality Initiative to study patients who underwent TCAR. We calculated the number of TCARs performed and the percent of TCAR utilization versus CEA/TF-CAS. Using data from before TCAR was widespread, we calculated propensity scores for patients to receive CEA. We applied this model to patients undergoing carotid revascularization from 2016 to 2022 and grouped patients by the procedure they ultimately underwent, examining overlap in score distribution to measure patient similarity. We measured the trend of in-hospital stroke/death after TCAR.
resultsWe studied 31 447 patients who underwent TCAR from January 1, 2016 to March 31, 2022. The number of centers performing TCAR increased from 29 to 606. In 2021, TCAR represented 22.5% of carotid revascularizations at centers offering all 3 procedures. The percentage of patients that underwent TCAR who met approved high-risk criteria decreased from 88.5% to 80.9% (
conclusionsTCAR now represents nearly 1-in-4 procedures at centers offering it. TCAR was increasingly performed among standard-risk patients and as a first-line procedural option after stroke. The absence of level 1 evidence underscores the importance of high-quality registry-based analyses to document TCAR's real-world outcomes and durability.
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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.