{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T23:01:54Z","timestamp":1780095714555,"version":"3.54.0"},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nTranscarotid artery revascularization (TCAR) is becoming an increasingly popular treatment of carotid stenosis. Despite this rapid adoption, little in the literature describes the associated complications of this procedure.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nWe report a case of a left M1 large-vessel occlusion following treatment of symptomatic, high-grade carotid stenosis with a TCAR procedure approximately three weeks earlier. The initial angiography demonstrated a pseudoaneurysm in the left common carotid artery at the site of TCAR access with a distal clot in the carotid stent. The clot within the stent was aspirated, and a mechanical thrombectomy was performed with a combination of a stent-retriever and aspiration catheter for thrombolysis in cerebral infarction 2B revascularization.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe TCAR procedure offers a novel method for revascularization of carotid lesions; it does include its complications. While generally safe, access site complications such as pseudoaneurysms can always occur. Knowledge of this risk allows for appropriate surveillance and management should it occur.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_71_2024","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T09:25:48Z","timestamp":1712913948000},"page":"127","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Thrombectomy and stenting of pseudoaneurysm from transcarotid artery revascularization"],"prefix":"10.25259","volume":"15","author":[{"given":"Jason H","family":"Boulter","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael F.","family":"Stiefel","sequence":"additional","affiliation":[{"name":"Department of Vascular Neurosurgery, Piedmont Hospital, Atlanta, Georgia, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyal","family":"Ben-Aire","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Piedmont Hospital, Atlanta, Georgia, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert J.","family":"Schuette","sequence":"additional","affiliation":[{"name":"Department of Vascular Neurosurgery, Piedmont Hospital, Atlanta, Georgia, United States."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"key":"10.25259\/SNI_71_2024\/ref-1","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.avsg.2020.09.065","article-title":"Duplex ultrasound surveillance after transcarotid artery revascularization (TCAR) in clinical practice","volume":"72","author":"Beeman","year":"2021","journal-title":"Ann Vasc Surg"},{"key":"10.25259\/SNI_71_2024\/ref-2","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.avsg.2020.10.023","article-title":"Outcomes of transcarotid artery revascularization and carotid endarterectomy at a single institution","volume":"73","author":"Cappellini","year":"2021","journal-title":"Ann Vasc Surg"},{"key":"10.25259\/SNI_71_2024\/ref-3","doi-asserted-by":"crossref","first-page":"e012805","DOI":"10.1161\/CIRCINTERVENTIONS.122.012805","article-title":"Adoption and diffusion of transcarotid artery revascularization in contemporary practice","volume":"16","author":"Columbo","year":"2023","journal-title":"Circ Cardiovasc Interv"},{"key":"10.25259\/SNI_71_2024\/ref-4","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.jvs.2018.09.060","article-title":"A multi-institutional analysis of transcarotid artery revascularization compared to carotid endarterectomy","volume":"70","author":"Kashyap","year":"2019","journal-title":"J Vasc Surg"},{"key":"10.25259\/SNI_71_2024\/ref-5","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":"10.25259\/SNI_71_2024\/ref-6","doi-asserted-by":"crossref","first-page":"100174","DOI":"10.1016\/j.avsurg.2023.100174","article-title":"Management of ruptured common carotid pseudoaneurysm following trans-carotid arterial revascularization in a patient with type III aortic arch","volume":"3","author":"Meredith","year":"2023","journal-title":"Ann Vasc Surg Brief Rep Innov"},{"key":"10.25259\/SNI_71_2024\/ref-7","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1159\/000097119","article-title":"Vertebral artery dissection after radiation therapy: A case report","volume":"57","author":"Nardone","year":"2007","journal-title":"Eur Neurol"},{"key":"10.25259\/SNI_71_2024\/ref-8","doi-asserted-by":"crossref","first-page":"17085381231194410","DOI":"10.1177\/17085381231194410","article-title":"Carotid artery dissections from transcarotid artery revascularization as reported by the Food and Drug Administration","author":"Suh","year":"2023","journal-title":"Vascular"}],"container-title":["Surgical Neurology 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