VT07 - Advanced Transcarotid Artery Revascularization with Shockwave Therapy

Thursday, June 11, 2026

5:00 PM - 6:15 PM ET

Location: Hynes CC, Second Level, Hall D

Presenting Author only(s)

Alan B. Lumsden, MD

Chairman Cardiovascular Surgery
Houston Methodist DeBakey Heart & Vascular Center
Houston, Texas

Co-Author(s)

ZG

Zsolt Garami

Medical Director, Vascular Ultrasound Lab
Houston Methodist Hospital
Houston, Texas
AB

Adam Bardoczi

Houston Methodist DeBakey Heart & Vascular Center

Co-Author(s)

Dora Z. Zatyko, MD

Houston Methodist DeBakey Heart & Vascular Center
AS

Asad Shaikh

Texas
GM

Gary Monteiro

Summary: A heavily calcified proximal internal carotid artery stenosing lesion was addressed with a combination of intravascular lithotripsy and transcarotid artery revascularization. Transcranial Doppler added great value by allowing the interventionist to choose the right reverse flow setting and provided insight into which procedural steps resulted in cerebral embolization. The function of the patient's autoregulation was also assessed intraoperatively with TCD, allowing the patient to skip ICU placement.