Use of cerebral embolic protection devices for endovascular treatment of a stenotic brachiocephalic trunk.

High-grade brachiocephalic artery stenosis is a rare manifestation of atherosclerotic disease with significant implications for patient morbidity, mortality and stroke risk. Clinical presentation often includes ischaemic symptoms affecting the right upper limb or cerebral circulation. Endovascular intervention has emerged as the preferred management strategy, demonstrating reduced overall risk and complication rates; however, challenges remain, particularly regarding intraoperative stroke risk. 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.