Systems and methods for transfemoral carotid intervention

A system for use in accessing and treating a carotid artery, the system comprising:

• an arterial access device adapted to be introduced into a common carotid artery via a percutaneous access location in a groin of a patient and receive blood flow from the common carotid artery via a distal region of the arterial access device, wherein the arterial access device includes a distal sheath which enters the common carotid artery;
• a shunt fluidly connected to the arterial access device, wherein the shunt comprises tubing defining a blood flow pathway for blood to flow from the arterial access device to a return site;
• and
• a flow control assembly coupled to the shunt and adapted to assist blood flow through the shunt, the flow control assembly including a pump having at least one roller that interacts with the tubing of the shunt to pump blood through the shunt toward the return site.