Burton BN, Finneran JJ, Harris KK, et al. - In this multi-institutional, retrospective cohort analysis, researchers used the American College of Surgeons National Surgical Quality Improvement Program Registry, to examine the link between primary anesthesia type (monitored anesthesia care [MAC] vs general anesthesia) and 30-day adverse events post-transcarotid artery revascularization (TCAR). Including 625 patients who underwent TCAR, the final analysis was performed. The reported prevalence of MAC was 73.4%. Patients who received MAC had a 93% reduction in the odds of 30-day mortality, had shorter mean (standard deviation) hospital stay and case duration, as well as significantly lower odds of pulmonary complications. In order to carefully select candidates who may undergo MAC, additional risk stratification and preprocedural optimization were urged.