Eddy H Luh, MD, F.A.C.S., has performed his 50th TransCarotid Artery Revascularization (TCAR) procedure at Valley Hospital in Las Vegas, Nevada! TCAR is a clinically proven minimally invasive procedure to treat carotid artery disease and help prevent future strokes.
Dr. Luh performed the 1st TCAR in the state of Nevada in early 2020. Since then, Las Vegas Surgical Associates is the only community/private practice that offers this minimally invasive stroke prevention procedure to patients in the state.
“Offering this newer, minimally invasive treatment option for our patients with carotid artery blockage is advancing patient care here in Las Vegas by dramatically reducing the risk of stroke and heart attack during and after carotid interventions,” said Dr. Luh.
TCAR is a patient-friendly endovascular procedure that utilizes a system that temporarily reverses blood flow away from the brain, collecting any potential debris in the device filter before returning the blood to a vessel in the leg.
TCAR generally takes between 30 and 60 minutes, and patients typically go home the next day. The small incision means limited risk to cranial nerves and a faster, less painful recovery for the patient.
The new minimally invasive procedure uses a special TransCarotid neuro-protection system and is designed to reduce the risk of stroke during the insertion of the stent.
The novel NPS device allows the surgeon to directly access the common carotid artery in the neck and initiate high-rate temporary blood flow reversal to protect the brain from stroke while delivering and implanting the stent.
The TCAR procedure is performed through a small incision at the neckline just above the clavicle. The surgeon places a tube directly into the carotid artery and connects it to the NPS that directs blood flow away from the brain to protect against plaque that may come loose reaching the brain.
The patient’s blood flows through the NPS, and any material is captured in a filter outside the body. The filtered blood is then returned through a second tube in the patient’s upper leg. After the stent is placed successfully, flow reversal is turned off, and blood flow resumes in its normal direction.
“In contrast to conventional surgery, TCAR requires a smaller incision resulting in decreased risk for nerve damage and a faster recovery time. With its flow-reversal system, TCAR also has been shown to have fewer stroke complications compared to carotid stenting performed through the groin,” said Luh.
TCAR is a safe and effective way for patients with buildup in the carotid artery to be treated in a minimally invasive way.
Your vascular surgeon may recommend a TCAR procedure if you have been diagnosed with carotid artery disease that requires intervention, and your age, anatomy, or other medical conditions place you at high risk for open surgery (carotid endarterectomy).
Dr. Luh serves as the Chairman, Department of Surgery and is a member of the Medical Executive Committee at Valley Hospital Medical Center. He obtained his B.A. from Cornell University and attended medical school at the University of Vermont College of Medicine. He completed his general surgery residency at the University of Nevada and his vascular surgery fellowship at the Michael E. DeBakey Department of Surgery in the Baylor College of Medicine in Houston, TX. Dr. Luh is board certified by the American Board of Surgery in Vascular and General Surgery. He is a senior partner with Las Vegas Surgical Associates, located at 8930 West Sunset Road, Suite 300. For more information, visit lvsurgical.com.
ABOUT LAS VEGAS SURGICAL ASSOCIATES
Las Vegas Surgical Associates is a multi-specialty surgical group that offers services across a broad range of surgical specialties. Eddy H. Luh, MD, RPVI, FSVS, FACS has been with the practice since 2009 and is board certified in Vascular and General Surgery with special interests in vascular surgery, endovascular interventions, and venous disease. Visit lvsurgical.com for more information.