{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T03:02:06Z","timestamp":1789786926936,"version":"4.0.1"},"reference-count":36,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011747","name":"Novo Nordisk Foundation Center for Basic Metabolic Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011747","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvascsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vascular Surgery"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.jvs.2026.05.027","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T23:38:42Z","timestamp":1779838722000},"page":"951-960.e3","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Thirty-day outcomes following transcarotid artery revascularization with integrated embolic protection: The PERFORMANCE III study"],"prefix":"10.1016","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1666-017X","authenticated-orcid":false,"given":"Sean P.","family":"Lyden","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert R.","family":"Mendes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8699-0572","authenticated-orcid":false,"given":"Nicolas J.","family":"Mouawad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandros","family":"Mallios","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7682-3570","authenticated-orcid":false,"given":"S. Jay","family":"Mathews","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles E.","family":"Pugar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0706-159X","authenticated-orcid":false,"given":"Katharine L.","family":"McGinigle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregg S.","family":"Landis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Dexter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adnan H.","family":"Siddiqui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Ouriel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis J.","family":"Caputo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Abramowitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Novack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Christopher","family":"Metzger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvs.2026.05.027_bib1","doi-asserted-by":"crossref","first-page":"S31","DOI":"10.1161\/STROKEAHA.110.595330","article-title":"The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST): stenting versus carotid endarterectomy for carotid disease","volume":"41","author":"Mantese","year":"2010","journal-title":"Stroke"},{"key":"10.1016\/j.jvs.2026.05.027_bib2","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1056\/NEJMoa1515706","article-title":"Randomized trial of stent versus surgery for asymptomatic carotid stenosis","volume":"374","author":"Rosenfield","year":"2016","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jvs.2026.05.027_bib3","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1016\/j.jvs.2005.01.034","article-title":"Prediction of early cerebral outcome by transcranial Doppler monitoring in carotid bifurcation angioplasty and stenting","volume":"41","author":"Ackerstaff","year":"2005","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib4","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1016\/j.jvs.2015.03.069","article-title":"Poststent ballooning is associated with increased periprocedural stroke and death rate in carotid artery stenting","volume":"62","author":"Obeid","year":"2015","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib5","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.atherosclerosis.2019.09.024","article-title":"The impact of post-dilatation on periprocedural outcomes during carotid artery stenting: a single-center experience","volume":"290","author":"Besli","year":"2019","journal-title":"Atherosclerosis"},{"key":"10.1016\/j.jvs.2026.05.027_bib6","first-page":"1090","article-title":"PERFORMANCE 1 study: novel carotid stent system with integrated post-dilation balloon and embolic protection device","volume":"100","author":"Langhoff","year":"2022","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2026.05.027_bib7","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.jcin.2018.11.039","article-title":"Double filtration during carotid artery stenting using a novel post-dilation balloon with integrated embolic protection","volume":"12","author":"Langhoff","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2026.05.027_bib8","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.carrev.2024.01.006","article-title":"Transradial carotid artery stenting using double layer micromesh stent and novel post-dilation balloon with integrated embolic protection","volume":"63","author":"Petkoska","year":"2024","journal-title":"Cardiovasc Revasc Med"},{"key":"10.1016\/j.jvs.2026.05.027_bib9","doi-asserted-by":"crossref","first-page":"3087","DOI":"10.1016\/j.jcin.2025.09.027","article-title":"Safety and efficacy of a novel micro net carotid stent system: results of the C-GUARDIANS trial","volume":"18","author":"Metzger","year":"2025","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2026.05.027_bib10","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1583\/11-3720.1","article-title":"A comparative analysis of bench-top performance assessment of distal protection filters in transient flow conditions","volume":"19","author":"Siewiorek","year":"2012","journal-title":"J Endovasc Ther"},{"key":"10.1016\/j.jvs.2026.05.027_bib11","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.jcin.2024.10.031","article-title":"The PERFORMANCE II trial: a prospective multicenter investigation of a novel carotid stent System","volume":"18","author":"Gray","year":"2025","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2026.05.027_bib12","doi-asserted-by":"crossref","first-page":"279","DOI":"10.2174\/157340309789317887","article-title":"Cerebral collateral circulation in carotid artery disease","volume":"5","author":"Romero","year":"2009","journal-title":"Curr Cardiol Rev"},{"key":"10.1016\/j.jvs.2026.05.027_bib13","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1111\/jon.12535","article-title":"Transcranial Doppler and transcranial color duplex in defining collateral cerebral blood flow","volume":"28","author":"Saqqur","year":"2018","journal-title":"J Neuroimaging"},{"key":"10.1016\/j.jvs.2026.05.027_bib14","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1212\/WNL.40.3_Part_1.461","article-title":"Hemodynamic role of ophthalmic artery collateral in internal carotid artery occlusion","volume":"40","author":"Tatemichi","year":"1990","journal-title":"Neurology"},{"key":"10.1016\/j.jvs.2026.05.027_bib15","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1016\/j.ejvs.2025.01.045","article-title":"Transcranial duplex evaluation of internal carotid artery flow direction during transcarotid artery revascularisation with integrated embolic protection","volume":"69","author":"Mallios","year":"2025","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib16","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jvs.2020.03.051","article-title":"Cerebral monitoring during transcarotid artery revascularization with flow reversal via transcranial doppler ultrasound examination","volume":"73","author":"Olivere","year":"2021","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib17","doi-asserted-by":"crossref","first-page":"123","DOI":"10.5606\/tgkdc.dergisi.2024.25700","article-title":"The intracranial effects of flow reversal during transcarotid artery revascularization","volume":"32","author":"Cekmecelioglu","year":"2024","journal-title":"Turk Gogus Kalp Damar Cerrahisi Derg"},{"key":"10.1016\/j.jvs.2026.05.027_bib18","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1161\/str.55.suppl_1.WP268","article-title":"Transcarotid arterial revascularization of symptomatic internal carotid artery disease: a systematic review and study-level meta-analysis","volume":"55","author":"Ghannam","year":"2024","journal-title":"Stroke"},{"key":"10.1016\/j.jvs.2026.05.027_bib19","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1016\/j.ejvs.2023.02.068","article-title":"Single cross filtered direct carotid artery revascularisation with selective flow reversal","volume":"65","author":"Mallios","year":"2023","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib21","first-page":"420","article-title":"Neuroprotection during carotid artery stenting using the GORE flow reversal system: 30-day outcomes in the EMPiRE clinical study","volume":"77","author":"Clair","year":"2011","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2026.05.027_bib22","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.jvs.2006.03.044","article-title":"Protected carotid stenting in high-surgical-risk patients: the ARCHeR results","volume":"44","author":"Gray","year":"2006","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib23","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1016\/j.jvs.2015.04.460","article-title":"Results of the ROADSTER multicenter trial of transcarotid stenting with dynamic flow reversal","volume":"62","author":"Kwolek","year":"2015","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib24","doi-asserted-by":"crossref","first-page":"2396","DOI":"10.1016\/j.jcin.2018.07.040","article-title":"A first-in-human evaluation of a novel mesh-covered stent for treatment of carotid stenosis in patients at high risk for endarterectomy: 30-day results of the SCAFFOLD trial","volume":"11","author":"Schneider","year":"2018","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2026.05.027_bib25","first-page":"503","article-title":"Carotid stenting with distal protection in high surgical risk patients: the BEACH trial 30 day results","volume":"67","author":"White","year":"2006","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.jvs.2026.05.027_bib26","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.jvs.2018.05.011","article-title":"Transcarotid artery revascularization versus transfemoral carotid artery stenting in the Society for Vascular Surgery Vascular Quality Initiative","volume":"69","author":"Malas","year":"2019","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib27","doi-asserted-by":"crossref","first-page":"2620","DOI":"10.1161\/STROKEAHA.120.030550","article-title":"Early outcomes in the ROADSTER 2 Study of transcarotid artery revascularization in patients with significant carotid artery disease","volume":"51","author":"Kashyap","year":"2020","journal-title":"Stroke"},{"key":"10.1016\/j.jvs.2026.05.027_bib28","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.jvs.2018.11.029","article-title":"In-hospital outcomes of transcarotid artery revascularization and carotid endarterectomy in the Society for Vascular Surgery Vascular Quality Initiative","volume":"71","author":"Schermerhorn","year":"2020","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib29","doi-asserted-by":"crossref","first-page":"2313","DOI":"10.1001\/jama.2019.18441","article-title":"Association of transcarotid artery revascularization vs transfemoral carotid artery stenting with stroke or death among patients with carotid artery stenosis","volume":"322","author":"Schermerhorn","year":"2019","journal-title":"JAMA"},{"key":"10.1016\/j.jvs.2026.05.027_bib30","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.jvs.2023.10.046","article-title":"Association of stroke or death with severity of carotid lesion calcification in patients undergoing carotid artery stenting","volume":"79","author":"Mota","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib31","article-title":"Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting)","volume":"6","author":"Chuatrakoon","year":"2022","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jvs.2026.05.027_bib32","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.avsg.2020.05.034","article-title":"Outcomes of transcarotid artery revascularization (TCAR) in octogenarians and older","volume":"68","author":"Ghamraoui","year":"2020","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib33","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1053\/j.semvascsurg.2021.10.012","article-title":"Innovation in the open and endovascular treatment of carotid artery stenosis","volume":"34","author":"Moacdieh","year":"2021","journal-title":"Semin Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib34","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.avsg.2021.08.035","article-title":"Risk factors for and intraoperative management of intolerance to flow reversal in TCAR","volume":"79","author":"Teter","year":"2022","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib35","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.avsg.2022.09.066","article-title":"Impact of flow reversal duration on neurological outcomes of transcarotid artery revascularization (TCAR)","volume":"89","author":"Naazie","year":"2023","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib36","doi-asserted-by":"crossref","first-page":"e288","DOI":"10.1016\/j.jvs.2024.03.372","article-title":"Impact of flow reversal duration on stroke risk in patients undergoing TCAR","volume":"79","author":"Hossain","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.027_bib37","article-title":"Three-year outcomes from the PERFORMANCE II trial: a prospective multicenter study of the Neuroguard IEP\u00ae 3-in-1 carotid stent system","author":"Gray","year":"2026","journal-title":"Presented at: International Symposium on Endovascular Therapy (ISET)"}],"container-title":["Journal of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521426011705?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521426011705?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:32:46Z","timestamp":1789785166000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0741521426011705"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":36,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0741521426011705"],"URL":"https:\/\/doi.org\/10.1016\/j.jvs.2026.05.027","relation":{},"ISSN":["0741-5214"],"issn-type":[{"value":"0741-5214","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Thirty-day outcomes following transcarotid artery revascularization with integrated embolic protection: The PERFORMANCE III study","name":"articletitle","label":"Article Title"},{"value":"Journal of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvs.2026.05.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 THE AUTHOR(S). Published by Elsevier Inc. on behalf of the Society for Vascular Surgery.","name":"copyright","label":"Copyright"}]}}