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This study presents a case of symptomatic brachiocephalic artery stenosis in an elderly woman managed with endovascular stenting using dual neuroprotective filters. This novel technique, not previously documented, demonstrates feasibility in similar clinical scenarios. The patient experienced a successful outcome with complete symptom resolution and remained complication-free at a 6-week follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2025-265592","type":"journal-article","created":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T08:35:44Z","timestamp":1752654944000},"page":"e265592","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Use of cerebral embolic protection devices for endovascular treatment of a stenotic brachiocephalic trunk"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7052-2854","authenticated-orcid":false,"given":"Vanessa","family":"Irvine","sequence":"first","affiliation":[{"name":"Vascular Surgery, Liverpool Hospital, Liverpool, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1104-4266","authenticated-orcid":false,"given":"Jack Peter","family":"Archer","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Liverpool Hospital, Liverpool, New South Wales, Australia"},{"name":"Wagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Crozier","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Liverpool Hospital, Liverpool, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,7,16]]},"reference":[{"key":"2025082710240826000_18.7.e265592.1","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.pcad.2021.03.004","article-title":"Brachiocephalic and subclavian stenosis: Current concepts for cardiovascular specialists","volume":"65","author":"Patel","year":"2021","journal-title":"Prog Cardiovasc Dis"},{"key":"2025082710240826000_18.7.e265592.2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21549"},{"key":"2025082710240826000_18.7.e265592.3","article-title":"Effective Management of High-Grade Left Common Carotid and Brachiocephalic Arterial Stenosis With Endovascular Stenting","volume":"13","author":"Salih","year":"2021","journal-title":"Cureus"},{"key":"2025082710240826000_18.7.e265592.4","doi-asserted-by":"publisher","DOI":"10.1067\/mva.1991.31287"},{"key":"2025082710240826000_18.7.e265592.5","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejvs.2019.06.622","article-title":"Which Type of Stent for Brachiocephalic Artery Trans-Luminal Angioplasties?","volume":"58","author":"Ammi","year":"2019","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2025082710240826000_18.7.e265592.6","doi-asserted-by":"crossref","first-page":"2644","DOI":"10.12998\/wjcc.v7.i17.2644","article-title":"Brachiocephalic artery stenting through the carotid artery: A case report and review of the literature","volume":"7","author":"Xu","year":"2019","journal-title":"World J Clin Cases"},{"key":"2025082710240826000_18.7.e265592.7","doi-asserted-by":"crossref","DOI":"10.1016\/j.jvscit.2023.101232","article-title":"Alternative access for peripheral vascular interventions","volume":"9","author":"Alonso","year":"2023","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"2025082710240826000_18.7.e265592.8","doi-asserted-by":"publisher","DOI":"10.1583\/13-4521L.1"},{"key":"2025082710240826000_18.7.e265592.9","doi-asserted-by":"publisher","DOI":"10.1583\/10-3156.1"},{"key":"2025082710240826000_18.7.e265592.10","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s00701-012-1586-8","article-title":"Endovascular stenting of symptomatic innominate artery stenosis under distal balloon protection of the internal carotid and vertebral artery for cerebral protection: a technical case report","volume":"155","author":"Sakamoto","year":"2013","journal-title":"Acta Neurochir (Wien)"},{"key":"2025082710240826000_18.7.e265592.11","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000367549.33541.34"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-265592","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:24:16Z","timestamp":1756315456000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-265592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":11,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7,16]]},"published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1136\/bcr-2025-265592"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-265592","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}