{"id":126047,"date":"2026-08-23T20:26:16","date_gmt":"2026-08-24T03:26:16","guid":{"rendered":"https:\/\/empirevein.com\/en\/vascular-services\/tcar\/"},"modified":"2026-08-25T15:21:14","modified_gmt":"2026-08-25T22:21:14","slug":"coche-de-pasajeros","status":"publish","type":"page","link":"https:\/\/empirevein.com\/es\/vascular-services\/tcar\/","title":{"rendered":"TCAR"},"content":{"rendered":"<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"MedicalProcedure\",\"name\":\"TransCarotid Artery Revascularization (TCAR)\",\"alternateName\":[\"TCAR\",\"Transcarotid Artery Revascularization\",\"Carotid Artery Stenosis Treatment\"],\"procedureType\":\"https:\\\/\\\/schema.org\\\/PercutaneousProcedure\",\"bodyLocation\":\"Carotid arteries of the neck\",\"howPerformed\":\"Through a small incision at the base of the neck, blood flow is temporarily reversed to protect the brain while a stent is placed to reopen a narrowed carotid artery, a minimally invasive alternative to carotid endarterectomy.\",\"followup\":\"Procedure takes 60 to 90 minutes with a one-to-two-day hospital stay; most patients return to normal activities within about a week.\",\"provider\":{\"@type\":\"MedicalOrganization\",\"name\":\"Empire Vein & Vascular Specialists\",\"url\":\"https:\\\/\\\/empirevein.com\\\/\"}}<\/script>\n\n\n<section style=\"background:var(--gradient-hero);position:relative;overflow:hidden\">\n\t<div class=\"vv-hero-grid\" style=\"max-width:1480px;margin:0 auto;padding:0;display:grid;grid-template-columns:minmax(0, 1fr) minmax(320px, 0.82fr);align-items:stretch;gap:clamp(24px, 4vw, 64px)\">\n\t\t<div style=\"padding:clamp(40px, 6vw, 72px) 0 clamp(56px, 7vw, 92px) var(--gutter);position:relative;z-index:2\">\n\t\t\t\t<nav style=\"display:flex;align-items:center;gap:10px;font-size:var(--text-sm);margin-bottom:26px;flex-wrap:wrap\">\n\t\t<a href=\"https:\/\/empirevein.com\/es\/vascular-services\/\" style=\"color:var(--ev-purple-600);font-weight:600;padding:6px 0;min-height:40px;display:inline-flex;align-items:center;text-decoration:none\">Vascular Care<\/a>\n\t\t<span style=\"color:var(--border-strong)\">|<\/span>\n\t\t<span style=\"color:var(--text-heading);font-weight:600\">TCAR<\/span>\n\t<\/nav>\n\t\t\t\t\t\t\t<h1 class=\"ev-h1 ev-arrive-kw\" style=\"line-height:1.02\"><span class=\"ev-gradient-text\">TCAR<\/span>, stroke prevention with less risk<\/h1>\n\t\t\t\t\t\t\t<p class=\"ev-lead\" style=\"margin:22px 0 0;max-width:640px\">When plaque builds up in the carotid arteries, it can increase stroke risk. TransCarotid Artery Revascularization (TCAR) is a minimally invasive procedure that treats carotid disease while protecting your brain the entire time. Empire Vein is the #1 provider of TCAR in California.<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"ev-herostats ev-arrive-rise ev-arrive-d2\" style=\"display:grid;grid-template-columns:repeat(3, minmax(0, 1fr));margin-top:clamp(28px, 3vw, 40px);border-top:1px solid var(--border)\"><div style=\"padding-top:clamp(18px, 2vw, 24px);padding-bottom:clamp(4px, 1vw, 10px);padding-left:0;padding-right:clamp(14px, 1.6vw, 24px);border-left:none;border-top:none\"><p style=\"font-size:var(--text-xs);font-weight:700;text-transform:uppercase;letter-spacing:0.1em;color:var(--ev-purple-600);margin:0 0 8px\">Procedure time<\/p><p style=\"font-size:clamp(1.3rem, 2vw, 1.7rem);font-weight:800;letter-spacing:-0.03em;line-height:1.02;color:var(--text-heading);margin:0 0 6px\">60\u201390 min<\/p><p style=\"font-size:var(--text-sm);color:var(--muted-foreground);line-height:1.4;margin:0;text-wrap:pretty\">About half the time of open surgery<\/p><\/div><div style=\"padding-top:clamp(18px, 2vw, 24px);padding-bottom:clamp(4px, 1vw, 10px);padding-left:clamp(18px, 2.2vw, 30px);padding-right:clamp(14px, 1.6vw, 24px);border-left:1px solid var(--border);border-top:none\"><p style=\"font-size:var(--text-xs);font-weight:700;text-transform:uppercase;letter-spacing:0.1em;color:var(--ev-purple-600);margin:0 0 8px\">Recovery<\/p><p style=\"font-size:clamp(1.3rem, 2vw, 1.7rem);font-weight:800;letter-spacing:-0.03em;line-height:1.02;color:var(--text-heading);margin:0 0 6px\">~1 week<\/p><p style=\"font-size:var(--text-sm);color:var(--muted-foreground);line-height:1.4;margin:0;text-wrap:pretty\">Back to normal activities<\/p><\/div><div style=\"padding-top:clamp(18px, 2vw, 24px);padding-bottom:clamp(4px, 1vw, 10px);padding-left:clamp(18px, 2.2vw, 30px);padding-right:clamp(14px, 1.6vw, 24px);border-left:1px solid var(--border);border-top:none\"><p style=\"font-size:var(--text-xs);font-weight:700;text-transform:uppercase;letter-spacing:0.1em;color:var(--ev-purple-600);margin:0 0 8px\">Safety<\/p><p style=\"font-size:clamp(1.3rem, 2vw, 1.7rem);font-weight:800;letter-spacing:-0.03em;line-height:1.02;color:var(--text-heading);margin:0 0 6px\">Protected<\/p><p style=\"font-size:var(--text-sm);color:var(--muted-foreground);line-height:1.4;margin:0;text-wrap:pretty\">Blood flow reversed away from the brain<\/p><\/div><\/div>\t\t<\/div>\n\t\t<div class=\"vv-hero-media\" style=\"position:relative;min-height:420px;align-self:stretch\">\n\t\t\t<div style=\"position:absolute;overflow:hidden;background:linear-gradient(150deg, var(--ev-purple-100), var(--ev-white) 80%);display:flex;align-items:center;justify-content:center;inset:0\">\n\t\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"ev-arrive-ease\" src=\"https:\/\/empirevein.com\/wp-content\/themes\/evvs2026\/assets\/img\/tcar-hero.jpg\" alt=\"A physician checks an older patient with a stethoscope during an exam\" loading=\"eager\" fetchpriority=\"high\" style=\"position:absolute;inset:0;width:100%;height:100%;object-fit:cover;display:block;object-position:center center;pointer-events:none\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n<section class=\"ev-section\">\n\t<div class=\"vv-info-grid\" style=\"display:grid;grid-template-columns:minmax(0, 1fr) minmax(300px, 0.92fr);gap:clamp(32px, 5vw, 72px);align-items:center\">\n\t\t<div>\n\t\t\t\t<div class=\"ev-rv\" style=\"max-width:760px;margin:0;text-align:left;margin-bottom:clamp(36px, 4vw, 52px)\">\n\t\t\t\t<h2 class=\"ev-h2\">What is <span class=\"ev-gradient-text\">TCAR?<\/span><\/h2>\n\t\t\t<\/div>\n\t\t\t\t\t<p style=\"font-size:clamp(16px, 1.6vw, 18px);color:var(--text-body);line-height:1.75;margin:0 0 18px;text-wrap:pretty\">Carotid artery stenosis is a narrowing of the arteries that carry blood to your brain. TransCarotid Artery Revascularization (TCAR) is a minimally invasive procedure that treats it while minimizing the risk of stroke during treatment itself.<\/p>\n\t\t\t\t\t\t\t<p style=\"font-size:clamp(16px, 1.6vw, 18px);color:var(--text-body);line-height:1.75;margin:0;text-wrap:pretty\">Traditional options include carotid endarterectomy (open neck surgery) and stenting through the groin. Both work, but they carry a risk of dislodging plaque that can travel to the brain. TCAR takes a smarter path: a small incision at the base of the neck, plus a system that temporarily <strong style=\"color:var(--text-heading)\">reverses blood flow to protect the brain<\/strong>. It&#039;s a leading treatment for <a href=\"https:\/\/empirevein.com\/es\/vascular-services\/carotid-artery-disease\/\" style=\"color:var(--ev-purple-600);font-weight:600\">carotid artery disease<\/a>.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"ev-rv-group\" style=\"display:flex;flex-direction:column\">\n\t\t\t\t\t\t\t\t\t\t\t<div style=\"display:flex;gap:16px;align-items:flex-start;padding:0 0 20px;border-top:none\">\n\t\t\t\t\t\t\t<span style=\"flex-shrink:0;width:46px;height:46px;border-radius:var(--radius-lg);background:var(--ev-purple-50);color:var(--ev-purple-600);display:inline-flex;align-items:center;justify-content:center\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span>\n\t\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t\t<h3 style=\"font-size:var(--text-lg);font-weight:800;letter-spacing:-0.015em;margin-bottom:4px\">It protects the brain<\/h3>\n\t\t\t\t\t\t\t\t<p class=\"ev-meta\">If any plaque breaks loose during treatment, it&#039;s carried into an external filter instead of toward the brain.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div style=\"display:flex;gap:16px;align-items:flex-start;padding:20px 0;border-top:1px solid #ece3f4\">\n\t\t\t\t\t\t\t<span style=\"flex-shrink:0;width:46px;height:46px;border-radius:var(--radius-lg);background:var(--ev-purple-50);color:var(--ev-purple-600);display:inline-flex;align-items:center;justify-content:center\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span>\n\t\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t\t<h3 style=\"font-size:var(--text-lg);font-weight:800;letter-spacing:-0.015em;margin-bottom:4px\">A small neck incision<\/h3>\n\t\t\t\t\t\t\t\t<p class=\"ev-meta\">TCAR reaches the carotid directly through a tiny incision, with no long path up from the groin.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div style=\"display:flex;gap:16px;align-items:flex-start;padding:20px 0;border-top:1px solid #ece3f4\">\n\t\t\t\t\t\t\t<span style=\"flex-shrink:0;width:46px;height:46px;border-radius:var(--radius-lg);background:var(--ev-purple-50);color:var(--ev-purple-600);display:inline-flex;align-items:center;justify-content:center\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M12 22s8-4 8-10V5l-8-3-8 3v7c0 6 8 10 8 10z\"\/><path d=\"M9 12l2 2 4-4\"\/><\/svg><\/span>\n\t\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t\t<h3 style=\"font-size:var(--text-lg);font-weight:800;letter-spacing:-0.015em;margin-bottom:4px\">Built for higher-risk patients<\/h3>\n\t\t\t\t\t\t\t\t<p class=\"ev-meta\">It&#039;s a safer option for people who aren&#039;t ideal candidates for open neck surgery.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n<\/section>\n\n\n<section style=\"background:linear-gradient(135deg, var(--ev-purple-50) 0%, #f8eef4 42%, #fdeede 100%);position:relative;overflow:hidden\">\n\t<div style=\"max-width:var(--container-max);margin-inline:auto;padding:clamp(64px, 8.5vw, 116px) var(--gutter);position:relative;z-index:1\">\n\t\t<div class=\"vv-info-grid\" style=\"display:grid;grid-template-columns:minmax(0, 0.56fr) minmax(0, 1.44fr);gap:clamp(28px, 4vw, 52px);max-width:1060px;margin-inline:auto;align-items:stretch\">\n\t\t\t<div class=\"ev-rv-greet\" style=\"position:relative;border-radius:var(--radius-2xl);overflow:hidden;background:linear-gradient(165deg, var(--ev-purple-100) 0%, #fbe2c9 100%);display:flex;flex-direction:column;justify-content:flex-end;min-height:440px;box-shadow:var(--shadow-md)\">\n\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/themes\/evvs2026\/assets\/img\/dr-son-ha-yu.png\" alt=\"Dr. Son Ha Yu\" loading=\"lazy\" style=\"position:absolute;inset:0;width:100%;height:100%;object-fit:contain;object-position:bottom center\">\n\t\t\t\t\t\t\t\t<div style=\"position:relative;z-index:1;padding:26px 24px 20px;background:linear-gradient(to top, rgba(44,15,68,0.94), rgba(44,15,68,0.5) 55%, rgba(44,15,68,0))\">\n\t\t\t\t\t<p style=\"font-size:var(--text-xl);font-weight:800;letter-spacing:-0.015em;color:var(--ev-white)\">Dr. Son Ha Yu<\/p>\n\t\t\t\t\t\t\t\t\t\t\t<p style=\"font-size:var(--text-sm);color:rgba(255,255,255,0.82);font-weight:600;margin-top:3px\">Board-Certified \u2022 Fellowship-Trained Vascular Surgeon<\/p>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"ev-rv\" style=\"display:flex;flex-direction:column;justify-content:center\">\n\t\t\t\t<h2 style=\"margin:0 0 18px;font-size:clamp(1.4rem, 2.4vw, 1.9rem);font-weight:800;letter-spacing:-0.02em;line-height:1.12;color:var(--text-heading)\">What our doctors think of <span class=\"ev-gradient-text\">TCAR<\/span><\/h2>\n\t\t\t\t<blockquote style=\"margin:0;font-size:clamp(1.3rem, 2vw, 1.7rem);font-weight:600;letter-spacing:-0.015em;line-height:1.42;color:var(--text-heading);text-wrap:pretty\"><span style=\"color:var(--ev-orange-dark);font-weight:800\">\u201c<\/span>What makes TCAR different is that we&#039;re protecting the brain the entire time, reversing blood flow so any debris can&#039;t cause a stroke. For patients who are higher-risk for open surgery, it&#039;s one of the safest ways to treat a dangerous carotid narrowing.<span style=\"color:var(--ev-orange-dark);font-weight:800\">\u201d<\/span><\/blockquote>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n<section class=\"ev-section\">\n\t\t<div class=\"ev-rv\" style=\"max-width:760px;margin:0 auto;text-align:center;margin-bottom:clamp(36px, 4vw, 52px)\">\n\t\t\t\t<h2 class=\"ev-h2\">How it <span class=\"ev-gradient-text\">works<\/span><\/h2>\n\t\t\t\t\t<p style=\"font-size:var(--text-lg);color:var(--muted-foreground);line-height:1.6;margin:16px auto 0;max-width:640px;text-wrap:pretty\">TCAR combines the best of surgery and minimally invasive technique, with the brain protected the whole time.<\/p>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"ev-rv-group ev-steps ev-swipe-row ev-rail--numbered-steps\" role=\"group\" aria-label=\"Steps, in order\" tabindex=\"0\" style=\"--steps-cols:4\">\n\t\t\t\t\t\t\t\t\t<div style=\"display:flex;flex-direction:column;align-items:flex-start\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/themes\/evvs2026\/assets\/img\/tcar-step-1.png\" alt=\"Access at the neck\" loading=\"lazy\" style=\"height:clamp(260px, 26vw, 380px);width:auto;max-width:100%;object-fit:contain;align-self:center;display:block;margin-bottom:22px\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div style=\"align-self:stretch;font-family:var(--font-mono);font-size:var(--text-base);font-weight:700;color:var(--ev-purple-400);letter-spacing:0.1em;padding-bottom:14px;border-bottom:2px solid var(--ev-purple-200);margin-bottom:14px\">01<\/div>\n\t\t\t\t<h3 style=\"font-size:var(--text-lg);font-weight:800;letter-spacing:-0.015em;margin-bottom:8px\">Access at the neck<\/h3>\n\t\t\t\t<p style=\"font-size:var(--text-base);color:var(--muted-foreground);line-height:1.6;text-wrap:pretty\">You&#039;re kept comfortable with local anesthesia and light sedation instead of general anesthesia. Your surgeon makes a small incision at the base of the neck to reach the carotid artery.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div style=\"display:flex;flex-direction:column;align-items:flex-start\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/themes\/evvs2026\/assets\/img\/tcar-step-2.png\" alt=\"Blood flow is reversed\" loading=\"lazy\" style=\"height:clamp(260px, 26vw, 380px);width:auto;max-width:100%;object-fit:contain;align-self:center;display:block;margin-bottom:22px\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div style=\"align-self:stretch;font-family:var(--font-mono);font-size:var(--text-base);font-weight:700;color:var(--ev-purple-400);letter-spacing:0.1em;padding-bottom:14px;border-bottom:2px solid var(--ev-purple-200);margin-bottom:14px\">02<\/div>\n\t\t\t\t<h3 style=\"font-size:var(--text-lg);font-weight:800;letter-spacing:-0.015em;margin-bottom:8px\">Blood flow is reversed<\/h3>\n\t\t\t\t<p style=\"font-size:var(--text-base);color:var(--muted-foreground);line-height:1.6;text-wrap:pretty\">A flow-reversal system gently redirects blood away from the brain and through an external filter. Any plaque debris loosened during the procedure is caught before it can reach the brain.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div style=\"display:flex;flex-direction:column;align-items:flex-start\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/themes\/evvs2026\/assets\/img\/tcar-step-3.png\" alt=\"A stent is placed\" loading=\"lazy\" style=\"height:clamp(260px, 26vw, 380px);width:auto;max-width:100%;object-fit:contain;align-self:center;display:block;margin-bottom:22px\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div style=\"align-self:stretch;font-family:var(--font-mono);font-size:var(--text-base);font-weight:700;color:var(--ev-purple-400);letter-spacing:0.1em;padding-bottom:14px;border-bottom:2px solid var(--ev-purple-200);margin-bottom:14px\">03<\/div>\n\t\t\t\t<h3 style=\"font-size:var(--text-lg);font-weight:800;letter-spacing:-0.015em;margin-bottom:8px\">A stent is placed<\/h3>\n\t\t\t\t<p style=\"font-size:var(--text-base);color:var(--muted-foreground);line-height:1.6;text-wrap:pretty\">Through the same small opening, your surgeon widens the narrowed artery and places a small stent to hold it open, restoring healthy blood flow to the brain.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div style=\"display:flex;flex-direction:column;align-items:flex-start\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/themes\/evvs2026\/assets\/img\/tcar-step-4.png\" alt=\"Recovery begins\" loading=\"lazy\" style=\"height:clamp(260px, 26vw, 380px);width:auto;max-width:100%;object-fit:contain;align-self:center;display:block;margin-bottom:22px\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div style=\"align-self:stretch;font-family:var(--font-mono);font-size:var(--text-base);font-weight:700;color:var(--ev-purple-400);letter-spacing:0.1em;padding-bottom:14px;border-bottom:2px solid var(--ev-purple-200);margin-bottom:14px\">04<\/div>\n\t\t\t\t<h3 style=\"font-size:var(--text-lg);font-weight:800;letter-spacing:-0.015em;margin-bottom:8px\">Recovery begins<\/h3>\n\t\t\t\t<p style=\"font-size:var(--text-base);color:var(--muted-foreground);line-height:1.6;text-wrap:pretty\">Normal blood flow resumes and the incision is closed. The whole procedure takes 60\u201390 minutes, and most patients go home within a day or two.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t<\/section>\n\n\n<section class=\"ev-section\">\n\t\t<div class=\"ev-rv\" style=\"max-width:760px;margin:0 auto;text-align:center;margin-bottom:clamp(36px, 4vw, 52px)\">\n\t\t\t\t<h2 class=\"ev-h2\">Who&#039;s a <span class=\"ev-gradient-text\">candidate?<\/span><\/h2>\n\t\t\t\t\t<p style=\"font-size:var(--text-lg);color:var(--muted-foreground);line-height:1.6;margin:16px auto 0;max-width:640px;text-wrap:pretty\">TCAR is especially valuable for people with significant carotid narrowing who are higher-risk for traditional open surgery.<\/p>\n\t\t\t<\/div>\n\t\t<div class=\"vv-info-grid ev-rv-group\" style=\"display:grid;grid-template-columns:minmax(0, 1fr) minmax(0, 1fr);gap:clamp(32px, 5vw, 72px);align-items:start;max-width:1040px;margin-inline:auto\">\n\t\t<div><h3 style=\"font-size:var(--text-xl);font-weight:800;letter-spacing:-0.02em;margin:0 0 20px\">TCAR may be right for you if you have<\/h3><div style=\"display:flex;flex-direction:column;gap:14px\"><div style=\"display:flex;gap:11px;align-items:flex-start\"><span style=\"flex-shrink:0;color:var(--ev-purple-500);margin-top:3px\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span><span style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.5\">Significant narrowing of the carotid artery<\/span><\/div><div style=\"display:flex;gap:11px;align-items:flex-start\"><span style=\"flex-shrink:0;color:var(--ev-purple-500);margin-top:3px\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span><span style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.5\">Narrowing that has come back after a previous procedure<\/span><\/div><div style=\"display:flex;gap:11px;align-items:flex-start\"><span style=\"flex-shrink:0;color:var(--ev-purple-500);margin-top:3px\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span><span style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.5\">A carotid blockage that&#039;s difficult to reach<\/span><\/div><div style=\"display:flex;gap:11px;align-items:flex-start\"><span style=\"flex-shrink:0;color:var(--ev-purple-500);margin-top:3px\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span><span style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.5\">A preference for a less invasive option and faster recovery<\/span><\/div><\/div><\/div><div><h3 style=\"font-size:var(--text-xl);font-weight:800;letter-spacing:-0.02em;margin:0 0 20px\">It&#039;s often chosen for higher-risk patients, including those with<\/h3><div style=\"display:flex;flex-direction:column;gap:14px\"><div style=\"display:flex;gap:11px;align-items:flex-start\"><span style=\"flex-shrink:0;color:var(--ev-purple-500);margin-top:3px\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span><span style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.5\">Advanced age (75 and older)<\/span><\/div><div style=\"display:flex;gap:11px;align-items:flex-start\"><span style=\"flex-shrink:0;color:var(--ev-purple-500);margin-top:3px\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span><span style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.5\">Previous neck surgery or radiation<\/span><\/div><div style=\"display:flex;gap:11px;align-items:flex-start\"><span style=\"flex-shrink:0;color:var(--ev-purple-500);margin-top:3px\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span><span style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.5\">Anatomy that makes open surgery difficult<\/span><\/div><div style=\"display:flex;gap:11px;align-items:flex-start\"><span style=\"flex-shrink:0;color:var(--ev-purple-500);margin-top:3px\"><svg width=\"16\" height=\"16\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2.4\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M20 6L9 17l-5-5\"\/><\/svg><\/span><span style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.5\">Heart, lung, or kidney conditions<\/span><\/div><\/div><\/div>\t<\/div>\n\t\t\t\t\t<div class=\"ev-rv\" style=\"display:flex;gap:13px;align-items:flex-start;margin-top:clamp(28px, 3vw, 40px);padding:18px 22px;background:var(--ev-purple-50);border-radius:var(--radius-xl);max-width:900px;margin-inline:auto\">\n\t\t\t<span style=\"flex-shrink:0;color:var(--ev-purple-700);margin-top:1px\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M4.8 2.3A.3.3 0 1 0 5 2H4a2 2 0 0 0-2 2v5a6 6 0 0 0 6 6 6 6 0 0 0 6-6V4a2 2 0 0 0-2-2h-1a.2.2 0 1 0 .2.3\"\/><path d=\"M8 15v1a6 6 0 0 0 6 6 6 6 0 0 0 6-6v-4\"\/><circle cx=\"20\" cy=\"10\" r=\"2\"\/><\/svg><\/span>\n\t\t\t<p class=\"ev-body\">Every candidate gets a full evaluation before we recommend TCAR: medical history, a physical exam, and imaging like carotid ultrasound, CT, or MR angiography.<\/p>\n\t\t<\/div>\n\t\t<\/section>\n\n\n<section style=\"background:transparent\">\n\t<div class=\"ev-section\">\n\t\t\t<div class=\"ev-rv\" style=\"max-width:760px;margin:0 auto;text-align:center;margin-bottom:clamp(36px, 4vw, 52px)\">\n\t\t\t\t<h2 class=\"ev-h2\">Why patients <span class=\"ev-gradient-text\">choose it<\/span><\/h2>\n\t\t\t\t\t<p style=\"font-size:var(--text-lg);color:var(--muted-foreground);line-height:1.6;margin:16px auto 0;max-width:640px;text-wrap:pretty\">For the right patient, TCAR offers real advantages over both open carotid surgery and traditional stenting.<\/p>\n\t\t\t<\/div>\n\t\t\t\t<div style=\"max-width:860px;margin-inline:auto\">\n\t\t\t\t<div class=\"ev-rv-group\" style=\"display:flex;flex-direction:column;justify-content:center\"><div style=\"padding-top:0;padding-bottom:clamp(15px, 1.7vw, 21px);border-top:none\"><p style=\"font-size:var(--text-xl);font-weight:800;letter-spacing:-0.015em;color:var(--text-heading);line-height:1.22;margin:0 0 6px\">Lower stroke risk during treatment<\/p><p class=\"ev-meta\">The flow-reversal system significantly lowers the risk of a procedure-related stroke versus traditional stenting.<\/p><\/div><div style=\"padding-top:clamp(15px, 1.7vw, 21px);padding-bottom:clamp(15px, 1.7vw, 21px);border-top:1px solid var(--border)\"><p style=\"font-size:var(--text-xl);font-weight:800;letter-spacing:-0.015em;color:var(--text-heading);line-height:1.22;margin:0 0 6px\">Minimally invasive<\/p><p class=\"ev-meta\">A small neck incision means less tissue trauma, less nerve-injury risk, and minimal scarring.<\/p><\/div><div style=\"padding-top:clamp(15px, 1.7vw, 21px);padding-bottom:clamp(15px, 1.7vw, 21px);border-top:1px solid var(--border)\"><p style=\"font-size:var(--text-xl);font-weight:800;letter-spacing:-0.015em;color:var(--text-heading);line-height:1.22;margin:0 0 6px\">Faster recovery<\/p><p class=\"ev-meta\">Most patients are back to normal activities within about a week, not several.<\/p><\/div><div style=\"padding-top:clamp(15px, 1.7vw, 21px);padding-bottom:clamp(15px, 1.7vw, 21px);border-top:1px solid var(--border)\"><p style=\"font-size:var(--text-xl);font-weight:800;letter-spacing:-0.015em;color:var(--text-heading);line-height:1.22;margin:0 0 6px\">A shorter procedure<\/p><p class=\"ev-meta\">TCAR typically takes less than half the time of a carotid endarterectomy.<\/p><\/div><div style=\"padding-top:clamp(15px, 1.7vw, 21px);padding-bottom:clamp(15px, 1.7vw, 21px);border-top:1px solid var(--border)\"><p style=\"font-size:var(--text-xl);font-weight:800;letter-spacing:-0.015em;color:var(--text-heading);line-height:1.22;margin:0 0 6px\">Proven results<\/p><p class=\"ev-meta\">Studied in the ROADSTER trials, with high technical success and low stroke rates.<\/p><\/div><div style=\"padding-top:clamp(15px, 1.7vw, 21px);padding-bottom:0;border-top:1px solid var(--border)\"><p style=\"font-size:var(--text-xl);font-weight:800;letter-spacing:-0.015em;color:var(--text-heading);line-height:1.22;margin:0 0 6px\">Easier on the heart<\/p><p class=\"ev-meta\">Local anesthesia and a shorter procedure put less strain on the heart than open surgery.<\/p><\/div><\/div>\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n<\/section>\n\n\n<section style=\"background:linear-gradient(158deg, #3b0f5c 0%, #4d1673 55%, #5f1f8a 100%);color:var(--ev-white)\">\n\t<div style=\"max-width:var(--container-max);margin:0 auto;padding:clamp(64px, 8vw, 108px) var(--gutter)\">\n\t\t\t\t\t<div class=\"vv-info-grid\" style=\"display:grid;grid-template-columns:minmax(0, 1fr) minmax(0, 0.92fr);gap:clamp(28px, 4vw, 56px);align-items:center;margin-bottom:clamp(40px, 5vw, 60px)\">\n\t\t\t\t<div class=\"ev-rv\" style=\"max-width:none\">\n\t<p style=\"font-family:var(--font-mono);font-size:var(--text-xs);font-weight:700;text-transform:uppercase;letter-spacing:0.14em;color:var(--ev-amber-400);margin:0 0 14px\">Why choose Empire Vein<\/p>\n\t<h2 class=\"ev-h2\" style=\"color:var(--ev-white)\">The #1 provider of TCAR in California<\/h2>\n\t\t\t<p style=\"font-size:var(--text-lg);color:rgba(255,255,255,0.82);line-height:1.6;margin:18px 0 0;text-wrap:pretty\">Our fellowship-trained vascular specialists have performed more TCAR procedures than any other practice in the state. They build a customized plan around each patient, with clear communication every step of the way.<\/p>\n\t<\/div>\n\t\t\t\t<img decoding=\"async\" class=\"ev-rv-greet\" src=\"https:\/\/empirevein.com\/wp-content\/themes\/evvs2026\/assets\/img\/why-couple-bench.png\" width=\"1000\" height=\"705\" alt=\"An older couple relaxing on a park bench with their dog\" loading=\"lazy\" style=\"width:100%;height:auto;display:block\">\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"ev-statrow ev-rv-group\" style=\"display:grid;grid-template-columns:repeat(auto-fit, minmax(210px, 1fr));gap:clamp(28px, 3vw, 44px)\">\n\t\t\t\t\t\t\t\t\t<div style=\"padding-left:0;border-left:none\">\n\t\t\t\t\t\t<p class=\"ev-h1-sm\" style=\"letter-spacing:-0.04em;line-height:1;color:var(--ev-amber-400)\">500+<\/p>\n\t\t\t\t\t\t<p style=\"font-size:var(--text-base);color:rgba(255,255,255,0.8);line-height:1.5;margin:12px 0 0;text-wrap:pretty\">carotid procedures performed by our surgeons<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div style=\"padding-left:clamp(20px, 2vw, 32px);border-left:1px solid rgba(255,255,255,0.16)\">\n\t\t\t\t\t\t<p class=\"ev-h1-sm\" style=\"letter-spacing:-0.04em;line-height:1;color:var(--ev-amber-400)\">Top 5<\/p>\n\t\t\t\t\t\t<p style=\"font-size:var(--text-base);color:rgba(255,255,255,0.8);line-height:1.5;margin:12px 0 0;text-wrap:pretty\">most experienced TCAR teams in the country<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div style=\"padding-left:clamp(20px, 2vw, 32px);border-left:1px solid rgba(255,255,255,0.16)\">\n\t\t\t\t\t\t<p class=\"ev-h1-sm\" style=\"letter-spacing:-0.04em;line-height:1;color:var(--ev-amber-400)\">20+ years<\/p>\n\t\t\t\t\t\t<p style=\"font-size:var(--text-base);color:rgba(255,255,255,0.8);line-height:1.5;margin:12px 0 0;text-wrap:pretty\">serving Southern California<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div style=\"padding-left:clamp(20px, 2vw, 32px);border-left:1px solid rgba(255,255,255,0.16)\">\n\t\t\t\t\t\t<p class=\"ev-h1-sm\" style=\"letter-spacing:-0.04em;line-height:1;color:var(--ev-amber-400)\">4.8\u2605<\/p>\n\t\t\t\t\t\t<p style=\"font-size:var(--text-base);color:rgba(255,255,255,0.8);line-height:1.5;margin:12px 0 0;text-wrap:pretty\">from 2,000+ verified patient reviews<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n<\/section>\n\n\n<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Is TCAR safer than other carotid procedures?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"For stroke risk during treatment, yes. TCAR's flow-reversal system protects the brain while the artery is being treated, which significantly lowers the risk of a procedure-related stroke compared to traditional carotid stenting.\"}},{\"@type\":\"Question\",\"name\":\"Do I need general anesthesia for TCAR?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Usually not. TCAR is typically performed under local anesthesia with light sedation, which puts less stress on the heart. That's one reason it's a good option for higher-risk patients.\"}},{\"@type\":\"Question\",\"name\":\"How long does TCAR take, and what's recovery like?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The procedure usually takes 60 to 90 minutes, with a short hospital stay of one to two days. Most people return to their normal activities within about a week.\"}},{\"@type\":\"Question\",\"name\":\"How is TCAR different from a carotid endarterectomy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A carotid endarterectomy is open surgery that removes plaque through a larger incision in the neck. TCAR uses a much smaller incision plus a brain-protection system, so there's less tissue trauma, less nerve-injury risk, and a faster recovery.\"}},{\"@type\":\"Question\",\"name\":\"Am I a candidate for TCAR?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"TCAR is especially valuable for people with significant carotid narrowing who are considered higher-risk for open surgery. A full evaluation confirms whether it's right for you. That includes your history, an exam, and imaging like carotid ultrasound or CT\\\/MR angiography.\"}},{\"@type\":\"Question\",\"name\":\"What are the risks of TCAR?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Any carotid procedure carries some risk, including stroke, bleeding, nerve injury, and re-narrowing over time. TCAR targets the biggest of these: its flow-reversal system protects the brain during treatment, and the small incision carries less nerve-injury risk than open surgery. Your surgeon will walk through your personal risks before anything is decided.\"}},{\"@type\":\"Question\",\"name\":\"Is TCAR covered by insurance?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"In most cases, yes, including Medicare. We accept most insurance plans and verify your benefits before anything is scheduled.\"}}]}<\/script>\n<section style=\"background:transparent\">\n\t<div class=\"ev-section\" style=\"max-width:900px\">\n\t\t<div class=\"ev-rv\">\n\t\t\t<h2 class=\"ev-h2\" style=\"margin:0 0 10px;text-align:center\">\n\t\t\t\t\t\t\t\t\tTCAR, answered\t\t\t\t\t\t\t<\/h2>\n\t\t\t\t\t\t\t<p style=\"font-size:var(--text-lg);color:var(--muted-foreground);line-height:1.6;margin:0 auto 36px;text-align:center;max-width:560px\">The questions patients ask us most about the procedure.<\/p>\n\t\t\t\t\t<\/div>\n\t\t<div class=\"ev-faq-list\" data-ev-accordion-group>\n\t\t\t\t\t\t<div style=\"border-bottom:1px solid var(--border)\">\n\t\t\t\t<button type=\"button\" data-ev-island=\"accordion\" aria-expanded=\"true\" style=\"width:100%;display:flex;align-items:center;justify-content:space-between;gap:16px;padding:22px 0;background:none;border:none;cursor:pointer;text-align:left;font-family:var(--font-sans)\">\n\t\t\t\t\t<span style=\"font-size:clamp(16px, 1.6vw, 18px);font-weight:700;color:var(--text-heading);letter-spacing:-0.01em\">Is TCAR safer than other carotid procedures?<\/span>\n\t\t\t\t\t<span data-ev-accordion-chevron style=\"flex-shrink:0;color:var(--primary);transform:rotate(180deg);transition:transform var(--duration)\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M6 9l6 6 6-6\"\/><\/svg><\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<p style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.7;padding:0 0 24px;margin:0;max-width:760px;text-wrap:pretty\">For stroke risk during treatment, yes. TCAR&#039;s flow-reversal system protects the brain while the artery is being treated, which significantly lowers the risk of a procedure-related stroke compared to traditional carotid stenting.<\/p>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div style=\"border-bottom:1px solid var(--border)\">\n\t\t\t\t<button type=\"button\" data-ev-island=\"accordion\" aria-expanded=\"false\" style=\"width:100%;display:flex;align-items:center;justify-content:space-between;gap:16px;padding:22px 0;background:none;border:none;cursor:pointer;text-align:left;font-family:var(--font-sans)\">\n\t\t\t\t\t<span style=\"font-size:clamp(16px, 1.6vw, 18px);font-weight:700;color:var(--text-heading);letter-spacing:-0.01em\">Do I need general anesthesia for TCAR?<\/span>\n\t\t\t\t\t<span data-ev-accordion-chevron style=\"flex-shrink:0;color:var(--primary);transform:none;transition:transform var(--duration)\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M6 9l6 6 6-6\"\/><\/svg><\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<p hidden style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.7;padding:0 0 24px;margin:0;max-width:760px;text-wrap:pretty\">Usually not. TCAR is typically performed under local anesthesia with light sedation, which puts less stress on the heart. That&#039;s one reason it&#039;s a good option for higher-risk patients.<\/p>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div style=\"border-bottom:1px solid var(--border)\">\n\t\t\t\t<button type=\"button\" data-ev-island=\"accordion\" aria-expanded=\"false\" style=\"width:100%;display:flex;align-items:center;justify-content:space-between;gap:16px;padding:22px 0;background:none;border:none;cursor:pointer;text-align:left;font-family:var(--font-sans)\">\n\t\t\t\t\t<span style=\"font-size:clamp(16px, 1.6vw, 18px);font-weight:700;color:var(--text-heading);letter-spacing:-0.01em\">How long does TCAR take, and what&#039;s recovery like?<\/span>\n\t\t\t\t\t<span data-ev-accordion-chevron style=\"flex-shrink:0;color:var(--primary);transform:none;transition:transform var(--duration)\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M6 9l6 6 6-6\"\/><\/svg><\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<p hidden style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.7;padding:0 0 24px;margin:0;max-width:760px;text-wrap:pretty\">The procedure usually takes 60 to 90 minutes, with a short hospital stay of one to two days. Most people return to their normal activities within about a week.<\/p>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div style=\"border-bottom:1px solid var(--border)\">\n\t\t\t\t<button type=\"button\" data-ev-island=\"accordion\" aria-expanded=\"false\" style=\"width:100%;display:flex;align-items:center;justify-content:space-between;gap:16px;padding:22px 0;background:none;border:none;cursor:pointer;text-align:left;font-family:var(--font-sans)\">\n\t\t\t\t\t<span style=\"font-size:clamp(16px, 1.6vw, 18px);font-weight:700;color:var(--text-heading);letter-spacing:-0.01em\">How is TCAR different from a carotid endarterectomy?<\/span>\n\t\t\t\t\t<span data-ev-accordion-chevron style=\"flex-shrink:0;color:var(--primary);transform:none;transition:transform var(--duration)\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M6 9l6 6 6-6\"\/><\/svg><\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<p hidden style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.7;padding:0 0 24px;margin:0;max-width:760px;text-wrap:pretty\">A carotid endarterectomy is open surgery that removes plaque through a larger incision in the neck. TCAR uses a much smaller incision plus a brain-protection system, so there&#039;s less tissue trauma, less nerve-injury risk, and a faster recovery.<\/p>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div style=\"border-bottom:1px solid var(--border)\">\n\t\t\t\t<button type=\"button\" data-ev-island=\"accordion\" aria-expanded=\"false\" style=\"width:100%;display:flex;align-items:center;justify-content:space-between;gap:16px;padding:22px 0;background:none;border:none;cursor:pointer;text-align:left;font-family:var(--font-sans)\">\n\t\t\t\t\t<span style=\"font-size:clamp(16px, 1.6vw, 18px);font-weight:700;color:var(--text-heading);letter-spacing:-0.01em\">Am I a candidate for TCAR?<\/span>\n\t\t\t\t\t<span data-ev-accordion-chevron style=\"flex-shrink:0;color:var(--primary);transform:none;transition:transform var(--duration)\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M6 9l6 6 6-6\"\/><\/svg><\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<p hidden style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.7;padding:0 0 24px;margin:0;max-width:760px;text-wrap:pretty\">TCAR is especially valuable for people with significant carotid narrowing who are considered higher-risk for open surgery. A full evaluation confirms whether it&#039;s right for you. That includes your history, an exam, and imaging like carotid ultrasound or CT\/MR angiography.<\/p>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div style=\"border-bottom:1px solid var(--border)\">\n\t\t\t\t<button type=\"button\" data-ev-island=\"accordion\" aria-expanded=\"false\" style=\"width:100%;display:flex;align-items:center;justify-content:space-between;gap:16px;padding:22px 0;background:none;border:none;cursor:pointer;text-align:left;font-family:var(--font-sans)\">\n\t\t\t\t\t<span style=\"font-size:clamp(16px, 1.6vw, 18px);font-weight:700;color:var(--text-heading);letter-spacing:-0.01em\">What are the risks of TCAR?<\/span>\n\t\t\t\t\t<span data-ev-accordion-chevron style=\"flex-shrink:0;color:var(--primary);transform:none;transition:transform var(--duration)\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M6 9l6 6 6-6\"\/><\/svg><\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<p hidden style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.7;padding:0 0 24px;margin:0;max-width:760px;text-wrap:pretty\">Any carotid procedure carries some risk, including stroke, bleeding, nerve injury, and re-narrowing over time. TCAR targets the biggest of these: its flow-reversal system protects the brain during treatment, and the small incision carries less nerve-injury risk than open surgery. Your surgeon will walk through your personal risks before anything is decided.<\/p>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div style=\"border-bottom:1px solid var(--border)\">\n\t\t\t\t<button type=\"button\" data-ev-island=\"accordion\" aria-expanded=\"false\" style=\"width:100%;display:flex;align-items:center;justify-content:space-between;gap:16px;padding:22px 0;background:none;border:none;cursor:pointer;text-align:left;font-family:var(--font-sans)\">\n\t\t\t\t\t<span style=\"font-size:clamp(16px, 1.6vw, 18px);font-weight:700;color:var(--text-heading);letter-spacing:-0.01em\">Is TCAR covered by insurance?<\/span>\n\t\t\t\t\t<span data-ev-accordion-chevron style=\"flex-shrink:0;color:var(--primary);transform:none;transition:transform var(--duration)\"><svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M6 9l6 6 6-6\"\/><\/svg><\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<p hidden style=\"font-size:var(--text-base);color:var(--text-body);line-height:1.7;padding:0 0 24px;margin:0;max-width:760px;text-wrap:pretty\">In most cases, yes, including Medicare. We accept most insurance plans and verify your benefits before anything is scheduled.<\/p>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n<section style=\"background:transparent\">\n\t<div style=\"max-width:860px;margin:0 auto;padding:clamp(56px, 7vw, 96px) var(--gutter)\">\n\t\t<div class=\"vv-info-grid ev-rv-group\" style=\"display:grid;grid-template-columns:1fr 1px 1fr;gap:clamp(28px, 3.5vw, 48px);align-items:stretch\">\n\t\t\t<div style=\"display:flex;flex-direction:column;justify-content:center\">\n\t\t\t\t<h2 class=\"ev-gradient-text\" style=\"display:inline-block;font-size:clamp(2.4rem, 5vw, 4rem);font-weight:800;letter-spacing:-0.035em;line-height:1;margin:0 0 22px\">Insurance<\/h2>\n\t\t\t\t<p style=\"font-size:var(--text-base);color:var(--muted-foreground);line-height:1.62;margin:0 0 24px;text-wrap:pretty;max-width:460px\">When your veins cause symptoms like aching, swelling, or skin changes, treatment is typically considered medically necessary, including under Medicare. We&#039;ll help you verify your benefits.<\/p>\n\t\t\t\t<p style=\"font-size:var(--text-xs);font-weight:700;text-transform:uppercase;letter-spacing:0.08em;color:var(--ev-purple-600);margin:0 0 22px\">Most major plans accepted<\/p>\n\t\t\t\t<div style=\"display:flex;flex-wrap:wrap;gap:12px;align-items:center;margin-bottom:30px;max-width:460px\">\n\t\t\t\t\t<span style=\"display:inline-flex;align-items:center;justify-content:center;height:56px;padding:0 18px;background:#fff;border-radius:var(--radius-lg);box-shadow:var(--shadow-xs)\"><img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/uploads\/iehp.png\" width=\"312\" height=\"161\" alt=\"Inland Empire Health Plan (IEHP)\" loading=\"lazy\" style=\"height:30px;max-width:120px;width:auto;object-fit:contain\"><\/span><span style=\"display:inline-flex;align-items:center;justify-content:center;height:56px;padding:0 18px;background:#fff;border-radius:var(--radius-lg);box-shadow:var(--shadow-xs)\"><img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/uploads\/aetna.png\" width=\"509\" height=\"99\" alt=\"Aetna\" loading=\"lazy\" style=\"height:30px;max-width:120px;width:auto;object-fit:contain\"><\/span><span style=\"display:inline-flex;align-items:center;justify-content:center;height:56px;padding:0 18px;background:#fff;border-radius:var(--radius-lg);box-shadow:var(--shadow-xs)\"><img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/uploads\/bluecross.png\" width=\"299\" height=\"87\" alt=\"Anthem Blue Cross\" loading=\"lazy\" style=\"height:30px;max-width:120px;width:auto;object-fit:contain\"><\/span><span style=\"display:inline-flex;align-items:center;justify-content:center;height:56px;padding:0 18px;background:#fff;border-radius:var(--radius-lg);box-shadow:var(--shadow-xs)\"><img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/uploads\/medicare-750x216.png\" width=\"750\" height=\"216\" alt=\"Medicare\" loading=\"lazy\" style=\"height:30px;max-width:120px;width:auto;object-fit:contain\"><\/span><span style=\"display:inline-flex;align-items:center;justify-content:center;height:56px;padding:0 18px;background:#fff;border-radius:var(--radius-lg);box-shadow:var(--shadow-xs)\"><img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/uploads\/blueshield.png\" width=\"299\" height=\"81\" alt=\"Blue Shield\" loading=\"lazy\" style=\"height:30px;max-width:120px;width:auto;object-fit:contain\"><\/span><span style=\"display:inline-flex;align-items:center;justify-content:center;height:56px;padding:0 18px;background:#fff;border-radius:var(--radius-lg);box-shadow:var(--shadow-xs)\"><img decoding=\"async\" src=\"https:\/\/empirevein.com\/wp-content\/uploads\/cigna.png\" width=\"348\" height=\"145\" alt=\"Cigna\" loading=\"lazy\" style=\"height:30px;max-width:120px;width:auto;object-fit:contain\"><\/span>\t\t\t\t<\/div>\n\t\t\t\t<a href=\"https:\/\/empirevein.com\/es\/patient-center\/insurances-we-accept\/\" style=\"font-size:var(--text-sm);font-weight:700;color:var(--primary);cursor:pointer;display:inline-flex;align-items:center;gap:6px\">Verify your coverage <svg width=\"15\" height=\"15\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M5 12h14\"\/><path d=\"M12 5l7 7-7 7\"\/><\/svg><\/a>\n\t\t\t<\/div>\n\t\t\t<div class=\"vv-info-divider\" aria-hidden=\"true\" style=\"width:1px;background:var(--border);justify-self:center\"><\/div>\n\t\t\t<div style=\"display:flex;flex-direction:column;justify-content:center\">\n\t\t\t\t<h2 class=\"ev-gradient-text\" style=\"display:inline-block;font-size:clamp(2.4rem, 5vw, 4rem);font-weight:800;letter-spacing:-0.035em;line-height:1;margin:0 0 22px\">Locations<\/h2>\n\t\t\t\t<p style=\"font-size:var(--text-base);color:var(--muted-foreground);line-height:1.62;margin:0 0 26px;text-wrap:pretty;max-width:460px\">Care close to home across the Inland Empire, High Desert, and Coachella Valley. Every office has on-site ultrasound.<\/p>\n\t\t\t\t<div style=\"display:flex;flex-direction:column;gap:20px;margin-bottom:30px\">\n\t\t\t\t\t\t\t\t\t\t<div>\n\t\t\t\t\t\t<p style=\"font-family:var(--font-mono);font-size:var(--text-xs);font-weight:700;text-transform:uppercase;letter-spacing:0.09em;color:var(--text-subtle);margin:0 0 10px\">Inland Empire<\/p>\n\t\t\t\t\t\t<div style=\"display:flex;flex-wrap:wrap;gap:10px 20px\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/empirevein.com\/es\/locations\/ontario\/\" style=\"font-size:var(--text-base);font-weight:700;letter-spacing:-0.01em;color:var(--text-heading);cursor:pointer;text-decoration:none;display:inline-flex;align-items:center;gap:6px\"><svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"color:var(--ev-purple-600);flex-shrink:0\"><path d=\"M21 10c0 7-9 13-9 13s-9-6-9-13a9 9 0 0 1 18 0z\"\/><circle cx=\"12\" cy=\"10\" r=\"3\"\/><\/svg>Ontario<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/empirevein.com\/es\/locations\/riverside\/\" style=\"font-size:var(--text-base);font-weight:700;letter-spacing:-0.01em;color:var(--text-heading);cursor:pointer;text-decoration:none;display:inline-flex;align-items:center;gap:6px\"><svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"color:var(--ev-purple-600);flex-shrink:0\"><path d=\"M21 10c0 7-9 13-9 13s-9-6-9-13a9 9 0 0 1 18 0z\"\/><circle cx=\"12\" cy=\"10\" r=\"3\"\/><\/svg>Riverside<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div>\n\t\t\t\t\t\t<p style=\"font-family:var(--font-mono);font-size:var(--text-xs);font-weight:700;text-transform:uppercase;letter-spacing:0.09em;color:var(--text-subtle);margin:0 0 10px\">High Desert<\/p>\n\t\t\t\t\t\t<div style=\"display:flex;flex-wrap:wrap;gap:10px 20px\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/empirevein.com\/es\/locations\/victorville\/\" style=\"font-size:var(--text-base);font-weight:700;letter-spacing:-0.01em;color:var(--text-heading);cursor:pointer;text-decoration:none;display:inline-flex;align-items:center;gap:6px\"><svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"color:var(--ev-purple-600);flex-shrink:0\"><path d=\"M21 10c0 7-9 13-9 13s-9-6-9-13a9 9 0 0 1 18 0z\"\/><circle cx=\"12\" cy=\"10\" r=\"3\"\/><\/svg>Victorville<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div>\n\t\t\t\t\t\t<p style=\"font-family:var(--font-mono);font-size:var(--text-xs);font-weight:700;text-transform:uppercase;letter-spacing:0.09em;color:var(--text-subtle);margin:0 0 10px\">Coachella Valley<\/p>\n\t\t\t\t\t\t<div style=\"display:flex;flex-wrap:wrap;gap:10px 20px\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/empirevein.com\/es\/locations\/la-quinta\/\" style=\"font-size:var(--text-base);font-weight:700;letter-spacing:-0.01em;color:var(--text-heading);cursor:pointer;text-decoration:none;display:inline-flex;align-items:center;gap:6px\"><svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"color:var(--ev-purple-600);flex-shrink:0\"><path d=\"M21 10c0 7-9 13-9 13s-9-6-9-13a9 9 0 0 1 18 0z\"\/><circle cx=\"12\" cy=\"10\" r=\"3\"\/><\/svg>La Quinta<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/empirevein.com\/es\/locations\/palm-springs\/\" style=\"font-size:var(--text-base);font-weight:700;letter-spacing:-0.01em;color:var(--text-heading);cursor:pointer;text-decoration:none;display:inline-flex;align-items:center;gap:6px\"><svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"color:var(--ev-purple-600);flex-shrink:0\"><path d=\"M21 10c0 7-9 13-9 13s-9-6-9-13a9 9 0 0 1 18 0z\"\/><circle cx=\"12\" cy=\"10\" r=\"3\"\/><\/svg>Palm Springs<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/empirevein.com\/es\/locations\/rancho-mirage\/\" style=\"font-size:var(--text-base);font-weight:700;letter-spacing:-0.01em;color:var(--text-heading);cursor:pointer;text-decoration:none;display:inline-flex;align-items:center;gap:6px\"><svg width=\"14\" height=\"14\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\" style=\"color:var(--ev-purple-600);flex-shrink:0\"><path d=\"M21 10c0 7-9 13-9 13s-9-6-9-13a9 9 0 0 1 18 0z\"\/><circle cx=\"12\" cy=\"10\" r=\"3\"\/><\/svg>Rancho Mirage<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<a href=\"https:\/\/empirevein.com\/es\/locations\/\" style=\"font-size:var(--text-sm);font-weight:700;color:var(--primary);cursor:pointer;display:inline-flex;align-items:center;gap:6px\">Find your nearest office <svg width=\"15\" height=\"15\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M5 12h14\"\/><path d=\"M12 5l7 7-7 7\"\/><\/svg><\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/section>\n\n\n\t<section style=\"background:#311e50;background-image:url('https:\/\/empirevein.com\/wp-content\/themes\/evvs2026\/assets\/img\/closingcta-bg.jpg');background-size:100% auto;background-position:bottom center;background-repeat:no-repeat;position:relative\">\n\t\t<div class=\"ev-rv\" style=\"max-width:820px;margin:0 auto;padding:clamp(80px, 10vw, 148px) var(--gutter) clamp(140px, 20vw, 300px);text-align:center;position:relative;z-index:1\">\n\t\t\t<h2 class=\"ev-h1-sm\" style=\"line-height:1.03;margin-bottom:18px;max-width:720px;margin-inline:auto;color:var(--ev-white);text-shadow:0 2px 20px rgba(31,16,55,0.35)\">Protect your brain. Get ahead of stroke.<\/h2>\n\t\t\t\t\t\t\t<p style=\"font-size:var(--text-lg);color:rgba(255,255,255,0.88);max-width:560px;margin:0 auto 36px;line-height:1.5;text-wrap:pretty;text-shadow:0 1px 14px rgba(31,16,55,0.3)\">Talk with our vascular specialists about whether TCAR is right for you. Screening offered at all 6 of our Southern California offices.<\/p>\n\t\t\t\t\t\t<div style=\"display:flex;flex-direction:column;align-items:center;gap:22px\">\n\t\t\t\t<a href=\"https:\/\/empirevein.com\/es\/book-online\/\" style=\"display:inline-flex;align-items:center;justify-content:center;height:48px;padding:0 30px;border-radius:var(--radius-full);border:1px solid transparent;background:var(--accent);color:var(--accent-foreground);font-family:var(--font-sans);font-size:15px;font-weight:600;line-height:1;white-space:nowrap;text-decoration:none;box-shadow:var(--shadow-sm)\">Book a Screening<\/a>\n\t\t\t\t<div style=\"display:flex;flex-direction:column;align-items:center;gap:5px\">\n\t\t\t\t\t<span style=\"font-size:var(--text-xs);font-weight:600;letter-spacing:0.1em;text-transform:uppercase;color:rgba(255,255,255,0.72)\">or call us directly<\/span>\n\t\t\t\t\t<a class=\"ev-h3\" href=\"tel:18008274267\" style=\"display:inline-flex;align-items:center;gap:10px;letter-spacing:-0.02em;color:var(--ev-white);text-decoration:none;text-shadow:0 1px 14px rgba(31,16,55,0.4)\">\n\t\t\t\t\t\t<svg width=\"22\" height=\"22\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M22 16.92v3a2 2 0 0 1-2.18 2 19.79 19.79 0 0 1-8.63-3.07 19.5 19.5 0 0 1-6-6 19.79 19.79 0 0 1-3.07-8.67A2 2 0 0 1 4.11 2h3a2 2 0 0 1 2 1.72 12.84 12.84 0 0 0 .7 2.81 2 2 0 0 1-.45 2.11L8.09 9.91a16 16 0 0 0 6 6l1.27-1.27a2 2 0 0 1 2.11-.45 12.84 12.84 0 0 0 2.81.7A2 2 0 0 1 22 16.92z\"\/><\/svg>\n\t\t\t\t\t\t(800) 827-4267\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/section>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":9,"featured_media":0,"parent":126027,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_gspb_post_css":"","footnotes":""},"class_list":["post-126047","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>TCAR: Minimally Invasive Carotid Stroke Prevention | Empire Vein &amp; Vascular Specialists<\/title>\n<meta name=\"description\" content=\"TCAR reopens a narrowed carotid artery while reversing blood flow to protect the brain. Learn how it works, who it helps, and why Empire Vein leads California in TCAR.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/empirevein.com\/es\/servicios-vasculares\/coche-de-pasajeros\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"TCAR: Minimally Invasive Carotid Stroke Prevention | Empire Vein &amp; Vascular Specialists\" \/>\n<meta property=\"og:description\" content=\"TCAR reopens a narrowed carotid artery while reversing blood flow to protect the brain. 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