{"id":253421,"date":"2020-11-11T08:15:45","date_gmt":"2020-11-11T13:15:45","guid":{"rendered":"https:\/\/nortonhealthcare.com\/?page_id=253421"},"modified":"2024-01-24T17:26:59","modified_gmt":"2024-01-24T22:26:59","slug":"transcarotid-artery-revascularization-tcar","status":"publish","type":"service","link":"https:\/\/nortonhealthcare.com\/services-and-conditions\/heart-and-vascular-care\/treatments\/transcarotid-artery-revascularization-tcar\/","title":{"rendered":"Transcarotid Artery Revascularization (TCAR)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Norton Healthcare offers a team of providers who are pioneers in the use of a cutting-edge technology called transcarotid artery revascularization (TCAR). We have three hospital facilities designated by Silk Road Medical as TCAR Centers of Excellence.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-is-transcarotid-artery-revascularization\">What Is Transcarotid Artery Revascularization?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Transcarotid artery revascularization (TCAR) is a procedure to treat patients with carotid artery disease who would be at higher risk during open surgery. Carotid artery disease is a condition in which a patient has blockages in one or both of their neck arteries. These arteries are major blood vessels that supply blood to the brain, neck and face.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While any repair of the carotid artery carries some risk of causing a stroke because of the repair itself, <a href=\"https:\/\/nortonhealthcare.com\/news\/carotid-artery-blockage-treatment\/\">TCAR was designed to help minimize that risk<\/a> by keeping potential stroke-causing fragments away from the brain. Like the open surgery, carotid endarterectomy (CEA), this new procedure involves direct access to the carotid artery, but through a much smaller incision at the neckline just above the clavicle instead of a longer incision on the neck. During the TCAR procedure, a tube inserted into the carotid artery is connected to a system that temporarily directs blood flow away from the brain to protect against dangerous debris reaching the brain during the procedure. Surgeons then filter the blood before returning it to a vein in the groin, and a stent is implanted directly into the carotid artery to stabilize the plaque and prevent future strokes. The entire procedure is performed in less than half the time of CEA \u2014 limiting the stress on the heart and significantly lowering the risk of the patient having a stroke or heart attack during the procedure.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full float-xl-end ms-xl-3 mb-3\"><img loading=\"lazy\" decoding=\"async\" width=\"200\" height=\"195\" src=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/coe-badge-2019.jpg\" alt=\"\" class=\"wp-image-253423\" srcset=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/coe-badge-2019.jpg 200w, https:\/\/nortonhealthcare.com\/wp-content\/uploads\/coe-badge-2019-150x146.jpg 150w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-why-choose-norton-healthcare-for-your-tcar-procedure\">Why Choose Norton Healthcare for Your TCAR Procedure?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Norton Audubon Hospital, Norton Brownsboro Hospital and Norton Hospital all were named 2019 TCAR Centers of Excellence for improving carotid artery disease treatment using the TCAR procedure. This distinction recognizes hospitals across the country that have embraced the TCAR procedure and have demonstrated excellent patient outcomes through appropriate patient selection and well-trained and credentialed specialists.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This designation, paired with the expertise of an experienced team of vascular surgeons and neurosurgeons, provides patients access to the latest in technology and capabilities when they need it most.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-what-are-some-of-the-benefits-of-the-tcar-procedure\">What Are Some of the Benefits of the TCAR Procedure?<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Smaller incision and scarring<\/li><li>Lowest stroke rate of clinical studies to date<\/li><li>Temporary reversal of blood flow to reduce risk of debris entering the brain and creating a procedural stroke<\/li><li>Filtering any loose material from the artery to protect against plaque that may come loose during the procedure<\/li><li>Minimized procedure times and recovery<\/li><li>Implanted stent in the carotid artery protects patients from future stroke risk<\/li><\/ul>\n\n\n<div id=\"providers-locations-sidebar\">\n      <div id=\"Meet Our Specialists\" class=\"card my-5\">\n      <div class=\"card-header bg-primary-soft py-3\">\n        <h5 class=\"mb-0\">Meet Our Specialists<\/h5>\n      <\/div>\n\n      <div class=\"card-body\">\n        <div id=\"providers_1\" class=\"row gy-3\">\n                      <div class=\"col-xl-4 col-md-6\">\n              <div class=\"related-provider align-items-start\">\n                                <a class=\"provider-image rounded shadow\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Barbara+H+Davis\/517901\" target=\"_blank\"><img decoding=\"async\" class=\"img-fluid provider-img\" src=\"https:\/\/cdn-images.kyruus.com\/providermatch\/norton\/photos\/500\/davis-barbara-1841501087.jpg\" alt=\"Barbara H Davis, DO\" \/><\/a>\n\n                                <div class=\"provider-info\">\n                  <h6 class=\"title mb-0 lh-sm\">\n                    <a href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Barbara+H+Davis\/517901\" target=\"_blank\">Barbara H Davis, DO<\/a>\n                    <p class=\"text-xs text-muted mb-0\">Vascular Surgery<\/p>\n                  <\/h6>\n\n                                                        <div class=\"provider-reviews\">\n                      <div class=\"stars-outer\">\n                        <div class=\"stars-inner\" style=\"width:94%\"><\/div>\n                      <\/div>\n                      <span class=\"text-xs\">(<a target=\"_blank\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Barbara+H+Davis\/517901#provider-details-reviews\">161<\/a>)<\/span>\n                    <\/div>\n                  \n                                                        <div class=\"action-btns mt-2\">\n                                                       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src=\"https:\/\/kyruus-app-static.kyruus.com\/providermatch\/norton\/photos\/500\/ghiassi-mahan-1285827725.jpg\" alt=\"Mahan Ghiassi, MD\" \/><\/a>\n\n                                <div class=\"provider-info\">\n                  <h6 class=\"title mb-0 lh-sm\">\n                    <a href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Mahan++Ghiassi\/494445\" target=\"_blank\">Mahan Ghiassi, MD<\/a>\n                    <p class=\"text-xs text-muted mb-0\">Endovascular Neurosurgery, Spine Surgery, Neurosurgery<\/p>\n                  <\/h6>\n\n                                                        <div class=\"provider-reviews\">\n                      <div class=\"stars-outer\">\n                        <div class=\"stars-inner\" style=\"width:98%\"><\/div>\n                      <\/div>\n                      <span class=\"text-xs\">(<a target=\"_blank\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Mahan++Ghiassi\/494445#provider-details-reviews\">71<\/a>)<\/span>\n                    <\/div>\n                  \n                                                        <div class=\"action-btns mt-2\">\n                                                                    <a href=\"https:\/\/nortonhealthcare.com\/request-an-appointment?os=false\" class=\"btn btn-primary btn-sm me-2\" data-nhc-append-linksource=\"true\">Schedule<\/a>\n                      \n                                                                    <button type=\"button\" class=\"btn btn-outline-secondary btn-sm\" data-bs-toggle=\"modal\" data-bs-target=\"#insuranceModal\">Insurance<\/button>\n                                          <\/div>\n                                  <\/div>\n              <\/div>\n            <\/div>\n                      <div class=\"col-xl-4 col-md-6\">\n              <div class=\"related-provider align-items-start\">\n                                <a class=\"provider-image rounded shadow\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Nathaniel+T+Liu\/496634\" target=\"_blank\"><img decoding=\"async\" class=\"img-fluid provider-img\" src=\"https:\/\/cdn-images.kyruus.com\/providermatch\/norton\/photos\/500\/liu-nathaniel-1598955783.jpg\" alt=\"Nathaniel T Liu, MD\" \/><\/a>\n\n                                <div class=\"provider-info\">\n                  <h6 class=\"title mb-0 lh-sm\">\n                    <a href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Nathaniel+T+Liu\/496634\" target=\"_blank\">Nathaniel T Liu, MD<\/a>\n                    <p class=\"text-xs text-muted mb-0\">Vascular Surgery<\/p>\n                  <\/h6>\n\n                                                        <div class=\"provider-reviews\">\n                      <div class=\"stars-outer\">\n                        <div class=\"stars-inner\" style=\"width:98%\"><\/div>\n                      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col-md-6\">\n              <div class=\"related-provider align-items-start\">\n                                <a class=\"provider-image rounded shadow\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Ferenc+P+Nagy\/476972\" target=\"_blank\"><img decoding=\"async\" class=\"img-fluid provider-img\" src=\"https:\/\/kyruus-app-static.kyruus.com\/providermatch\/norton\/photos\/500\/nagy-ferenc-1457560302.jpg\" alt=\"Ferenc P Nagy, MD\" \/><\/a>\n\n                                <div class=\"provider-info\">\n                  <h6 class=\"title mb-0 lh-sm\">\n                    <a href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Ferenc+P+Nagy\/476972\" target=\"_blank\">Ferenc P Nagy, MD<\/a>\n                    <p class=\"text-xs text-muted mb-0\">Vascular Surgery<\/p>\n                  <\/h6>\n\n                                                        <div class=\"provider-reviews\">\n                      <div class=\"stars-outer\">\n                        <div class=\"stars-inner\" style=\"width:98%\"><\/div>\n                      <\/div>\n                      <span class=\"text-xs\">(<a target=\"_blank\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Ferenc+P+Nagy\/476972#provider-details-reviews\">322<\/a>)<\/span>\n                    <\/div>\n                  \n                                                        <div class=\"action-btns mt-2\">\n                                                                    <a href=\"https:\/\/nortonhealthcare.com\/request-an-appointment?os=false\" class=\"btn btn-primary btn-sm me-2\" data-nhc-append-linksource=\"true\">Schedule<\/a>\n                      \n                                                                    <button type=\"button\" class=\"btn btn-outline-secondary btn-sm\" data-bs-toggle=\"modal\" data-bs-target=\"#insuranceModal\">Insurance<\/button>\n                                          <\/div>\n                                  <\/div>\n              <\/div>\n            <\/div>\n                      <div class=\"col-xl-4 col-md-6\">\n              <div class=\"related-provider align-items-start\">\n                                <a class=\"provider-image rounded shadow\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Gregory+C+Schmieder\/488964\" target=\"_blank\"><img decoding=\"async\" class=\"img-fluid provider-img\" src=\"https:\/\/kyruus-app-static.kyruus.com\/providermatch\/norton\/photos\/500\/schmieder-gregory-1619138005.jpg\" alt=\"Gregory C Schmieder, MD\" \/><\/a>\n\n                                <div class=\"provider-info\">\n                  <h6 class=\"title mb-0 lh-sm\">\n                    <a href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Gregory+C+Schmieder\/488964\" target=\"_blank\">Gregory C Schmieder, MD<\/a>\n                    <p class=\"text-xs text-muted mb-0\">Vascular Surgery<\/p>\n                  <\/h6>\n\n                                                        <div class=\"provider-reviews\">\n                      <div class=\"stars-outer\">\n                        <div class=\"stars-inner\" style=\"width:90%\"><\/div>\n                      <\/div>\n                      <span class=\"text-xs\">(<a target=\"_blank\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Gregory+C+Schmieder\/488964#provider-details-reviews\">194<\/a>)<\/span>\n                    <\/div>\n                  \n                                                        <div class=\"action-btns mt-2\">\n                                                                    <a href=\"https:\/\/nortonhealthcare.com\/request-an-appointment?os=false\" class=\"btn btn-primary btn-sm me-2\" data-nhc-append-linksource=\"true\">Schedule<\/a>\n                      \n                                                                    <button type=\"button\" class=\"btn btn-outline-secondary btn-sm\" data-bs-toggle=\"modal\" data-bs-target=\"#insuranceModal\">Insurance<\/button>\n                                          <\/div>\n                                  <\/div>\n              <\/div>\n            <\/div>\n                      <div class=\"col-xl-4 col-md-6\">\n              <div class=\"related-provider align-items-start\">\n                                <a class=\"provider-image rounded shadow\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Tom+L+Yao\/463470\" target=\"_blank\"><img decoding=\"async\" class=\"img-fluid provider-img\" src=\"https:\/\/kyruus-app-static.kyruus.com\/providermatch\/norton\/photos\/500\/yao-tom-1235286113.jpg\" alt=\"Tom L Yao, MD\" \/><\/a>\n\n                                <div class=\"provider-info\">\n                  <h6 class=\"title mb-0 lh-sm\">\n                    <a href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Tom+L+Yao\/463470\" target=\"_blank\">Tom L Yao, MD<\/a>\n                    <p class=\"text-xs text-muted mb-0\">Endovascular Neurosurgery, Neurosurgery<\/p>\n                  <\/h6>\n\n                                                        <div class=\"provider-reviews\">\n                      <div class=\"stars-outer\">\n                        <div class=\"stars-inner\" style=\"width:100%\"><\/div>\n                      <\/div>\n                      <span class=\"text-xs\">(<a target=\"_blank\" href=\"https:\/\/providers.nortonhealthcare.com\/provider\/Tom+L+Yao\/463470#provider-details-reviews\">97<\/a>)<\/span>\n                    <\/div>\n                  \n                                                        <div class=\"action-btns mt-2\">\n                                                                    <a href=\"https:\/\/nortonhealthcare.com\/request-an-appointment?os=false\" class=\"btn btn-primary btn-sm me-2\" data-nhc-append-linksource=\"true\">Schedule<\/a>\n                      \n                                                                    <button 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class=\"insurance-item\">Essence<\/li><li class=\"insurance-item\">First Health Group Corp. (First Health)<\/li><li class=\"insurance-item\">HealthSmart<\/li><li class=\"insurance-item\">Hosparus<\/li><li class=\"insurance-item\">Humana Medicaid<\/li><li class=\"insurance-item\">Humana Medicare<\/li><li class=\"insurance-item\">Indiana Health Network<\/li><li class=\"insurance-item\">Indiana Medicaid<\/li><\/ul><\/div><div class=\"col-12 col-md-6\"><ul class=\"insurance-list-column \"><li class=\"insurance-item\">Indiana Medicare<\/li><li class=\"insurance-item\">Kentucky Medicaid<\/li><li class=\"insurance-item\">Kentucky Medicare<\/li><li class=\"insurance-item\">MDwise<\/li><li class=\"insurance-item\">MHS<\/li><li class=\"insurance-item\">Molina Healthcare<\/li><li class=\"insurance-item\">MultiPlan<\/li><li class=\"insurance-item\">Passport Health Plan Kentucky MCO<\/li><li class=\"insurance-item\">Passport Marketplace<\/li><li class=\"insurance-item\">Provider Net\/OMCA<\/li><li class=\"insurance-item\">SIHO<\/li><li class=\"insurance-item\">Sagamore<\/li><li class=\"insurance-item\">Signature Advantage<\/li><li class=\"insurance-item\">TRICARE Humana Military<\/li><li class=\"insurance-item\">United Healthcare<\/li><li class=\"insurance-item\">United Healthcare Community Plan Indiana and Kentucky<\/li><li class=\"insurance-item\">United Healthcare Medicare Advantage<\/li><li class=\"insurance-item\">UofL Health \u2013 Frazier Rehabilitation Institute<\/li><li class=\"insurance-item\">Veterans Affairs (VA)<\/li><li class=\"insurance-item\">WellCare<\/li><li class=\"insurance-item\">WellCare Medicare<\/li><li class=\"insurance-item\">WellCare of Kentucky Medicaid (Kentucky MCO)<\/li><li class=\"insurance-item\">Wellpath<\/li><li class=\"insurance-item\">Workers\u2019 Compensation<\/li><\/ul><\/div><\/div>\n                  <h2 class=\"modal-insurance-title fs-5\">What if I don&#8217;t have insurance?<\/h2>\n          <div class=\"mb-3 modal-insurance-copy text-sm\"><p>Copays or fees are typically due at the time of service. If you have insurance, your copay amount will depend on your plan. For self-pay patients, the cost of a visit typically ranges from $100 to $250, depending on the services provided. There may be additional charges for services such as lab tests or X-rays.<\/p>\r\n<p>If you have questions about your bill or need assistance with payment options, you can contact Norton Healthcare customer service at (502) 479-6300 or (800) 874-3979.<\/p><\/div>\n              <\/div>\n      <div class=\"modal-footer\">\n        <button type=\"button\" class=\"btn btn-secondary\" data-bs-dismiss=\"modal\">Close<\/button>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n\n\n \n    <div class=\"row\">\n      <div class=\"col-xl-8 mx-auto\">\n        <div class=\"ratio ratio-16x9 my-5\">\n          <iframe src=\"https:\/\/www.youtube.com\/embed\/O32nDoovMPY\" allowfullscreen><\/iframe>\n        <\/div>\n      <\/div>\n    <\/div>\n    \n","protected":false},"featured_media":848119,"parent":77318,"menu_order":6,"template":"","class_list":["post-253421","service","type-service","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast 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