CORRECT ANSWERS LATEST 2025-2026
UPDATE|ALREADY GRADED A+
embolizes (protective devices catch these once deployed), carotid
(getting to was issue), came (out of the device while retracting) -
Answer-The OLD stenting method, cont.:
- once the catheter is in the vessel beyond the plaque, there are
protection devices that will catch anything that ____?_____
- but it was on the way up to the ____?__(which vessel)___, past the
plaque, that was the problem because there was nothing to catch the
emboli ass it moved from fem to carotid
- you also had to SIT the protective device properly, and when you
RETRACTED it, that nothing ___?____ out of the device.
transCarotid artery revascularization - Answer-What does TCAR stand
for?
carotid (directly accessed) - Answer-The NEW stenting option of
TCAR skips accessing at the groin and accesses where?____?____
(similar to ablation, we will access carotid, use a sheath, insert catheter,
insert a stent, inflate a balloon if wanted to adhere plaque to wall more--
this is the same, we just do it straight at neck instead of groin going
through aortic arch)
, reversed - Answer-TCAR accesses at the common carotid artery, we
insert a sheath... but why don't we run the same risk of dislodging the
plaque before we can get that protective device inserted to catch any
embolus?
- flow is ____?_____ first, so it goes away from the brain
proximally (close off vessel), vein (contralateral connection to), high
(pressure, from), low (pressure, to) - Answer-TCAR process:
-you will be inserting catheter in the carotid so first you have to CLOSE
IT OFF (PROXIMALLY/DISTALLY?)
- through that catheter, they are going to connect that catheter, usually,
to the contralateral ____?_____
(high pressure at carotid connected to a low pressure vein, will send to
contralateral side and recirculate)
- because flow is going from (high/low?) pressure to (low/high?)
pressure, if you do knock something off, it will be going toward the
contralateral fem vein (and there is some sort of protective device)
yes (most of us have some sort of collateralization) - Answer-With a
TCAR, do you need to have some sort of collateralization?
no (not yet) - Answer-are many doctors doing TCAR?
accessible (you need a min space to have sheath, cath, and deploy
stent), plaque (and where, it could embolize and be hard to poke