[Transcarotid Artery Stenting with dynamic flow reversal. First case and one year follow up].

Carotid endarterectomy remains the gold standard treatment for carotid stenosis. Although transfemoral carotid artery stenting is a valid alternative for high-surgical-risk patients, transcarotid artery revascularization (TCAR) has shown promising results. Clinical case: 68-year-old male with hypertension and chronic obstructive pulmonary disease who developed a stroke due to a severe high stenosis in the right internal carotid artery.