Management of iatrogenic carotid artery dissection during transcarotid artery revascularization

Abstract

Iatrogenic dissection of the common carotid artery (CCA) is a feared complication of transcarotid artery revascularization (TCAR). However, its management is not well described. We describe our treatment approach to CCA dissection during TCAR in four patients, and discuss risk factors, prophylactic measures, and an algorithmic approach to management.