BSA Hospital and Amarillo Surgical Group Surgeons Perform the First TCAR Procedure in the Region

December 12, 2018

AMARILLO, TX (October 15, 2018)- BSA Hospital has teamed up with Amarillo Surgical Group surgeons to offer the first TransCarotid Artery Revascularization (TCAR) procedure in the region. Dr. Chance Irwin and Dr. David Langley with Amarillo Surgical Group are the region’s first surgeons to perform TCAR surgeries, offering patients a safer way to reduce their risk of stroke. Both Dr. Irwin and Dr. Langley specialize in general, peripheral and vascular surgeries. 

“TCAR minimizes the risk of heart attack, stroke and nerve injury during carotid artery repair,” Dr. Irwin said. “TCAR combines surgical practices of neuroprotection with advanced stent placement, making the carotid artery repair procedure minimally invasive and safer for our patients.”

Carotid artery disease involves a build-up of plaque in one or both of the main arteries of the neck. If left untreated, the disease can cause blood flow to slow down or stop, which may result in a stroke. Carotid artery disease is estimated to be the source of up to a third of stroke cases. For patients who are considered high-risk for traditional surgery due to age, anatomic issues or other medical conditions, the TCAR procedure may help prevent stroke.

TCAR uses a minimally invasive incision to directly access the artery. During TCAR, temporary blood flow reversal causes plaque fragments that may break off to be diverted away from the brain. During the blood flow reversal process, a stent is placed inside the artery to stabilize the plaque and minimize the risk of future stroke. TCAR takes half the time of a traditional carotid artery procedure.

“TCAR offers our patients the highest quality care available in carotid artery repair,” said Matt Parker, Vice President of Cardiovascular Services at BSA. “TCAR is a patient friendly procedure; it can be performed in half the time of a traditional carotid artery procedure, is less invasive leading to a faster recovery time and leaves patients with smaller scars.”


About BSA Health System

SA Health System is a comprehensive healthcare system located in Amarillo, Texas, serving the Texas Panhandle and surrounding area. BSA, the largest healthcare employer in the region, includes the 445-bed flagship hospital, BSA Harrington Cancer Center, a network of primary care, urgent care and surgical clinics and a preferred provider network, as well as majority interests in Physicians Surgical Hospitals, ADC Endoscopy and Advanced Imaging Centers. In 2017, BSA was recognized among the nation’s Best Places to Work in Healthcare by Modern Healthcare. In 2018, IBM Watson Health recognized BSA as one of the 100 Top Hospitals® in the nation for the fifth time since 2012. BSA is recognized as one of 13 Everest Award winners in the nation a designation for those among the top for rate of improvement in the nation over five years. For more information, visit


About BSA Amarillo Surgical Group

BSA Amarillo Surgical Group is committed to providing quality surgical care with the latest technology and surgical techniques in the Panhandle region. BSA Amarillo Surgical Group provides patients with both traditional and new, more minimally-invasive approaches to surgery. Amarillo Surgical Group surgeons specialize in general, endoscopic and robotic surgery, vascular surgery, surgical oncology, breast surgical oncology and oncoplastic breast surgery. For more information, visit or call 806-212-6604.