biostudies-literatureSolomon YAgency for Healthcare Research and QualityAHRQ HHSNHLBI NIH HHSNational Institutes of Health1307-1315.e1https://www.ebi.ac.uk/biostudies/studies/S-EPMC9613587biostudies-literatureUnknown76(5)<h4>Objective</h4>Previous studies on carotid endarterectomy and transfemoral carotid artery stenting demonstrated that perioperative outcomes differed according to preoperative neurologic injury severity, but this has not been assessed in transcarotid artery revascularization (TCAR). In this study, we examined contemporary perioperative outcomes in patients who underwent TCAR stratified by specific preprocedural symptom status.<h4>Methods</h4>Patients who underwent TCAR between 2016 and 2021 in the Vascular Quality Initiative were included. We stratified patients into the following groups based on preprocedural symptoms: asymptomatic, recent (symptoms occurring <180 days before TCAR) ocular transient ischemic attack (TIA), recent hemispheric TIA, recent stroke, or formerly symptomatic (syJournal of vascular surgeryOutcomes after transcarotid artery revascularization stratified by preprocedural symptom status.PMC96135875T32HL007734F32 HS027285T32 HL007734F32HS027285Marcaccio CLWang GJSchermerhorn MLPatel PBMalas MBSolomon YNolan BWVerhagen HJMde Borst GJRastogi VMotaganahalli RLfalseOutcomes after transcarotid artery revascularization stratified by preprocedural symptom status.<h4>Objective</h4>Previous studies on carotid endarterectomy and transfemoral carotid artery stenting demonstrated that perioperative outcomes differed according to preoperative neurologic injury severity, but this has not been assessed in transcarotid artery revascularization (TCAR). In this study, we examined contemporary perioperative outcomes in patients who underwent TCAR stratified by specific preprocedural symptom status.<h4>Methods</h4>Patients who underwent TCAR between 2016 and 2021 in the Vascular Quality Initiative were included. We stratified patients into the following groups based on preprocedural symptoms: asymptomatic, recent (symptoms occurring <180 days before TCAR) ocular transient ischemic attack (TIA), recent hemispheric TIA, recent stroke, or formerly symptomatic (sy2022-01-01T00:00:00Z2022 Nov2025-05-29T21:43:57.246Z2025-05-29T21:43:57.246ZS-EPMC96135873579828110.1016/j.jvs.2022.05.024