1. In this retrospective cohort study, among 2962 patients with standard surgical risk who underwent transcarotid artery revascularization and 8886 patients who underwent carotid endarterectomy, there was no significant difference in risk of 30-day stroke, death, and myocardial infarction or 1-year ipsilateral stroke. 2. Transcarotid artery revascularization was associated with a higher risk of 1-year