PT - JOURNAL ARTICLE AU - Gao, Michael C AU - Gemmete, Joseph J AU - Pandey, Aditya S AU - Chaudhary, Neeraj TI - Treatment of a intracranial stenosis with a vulnerable plaque under proximal flow reversal with balloon angioplasty and stent placement AID - 10.1136/neurintsurg-2011-010004 DP - 2012 May 01 TA - Journal of NeuroInterventional Surgery PG - e7--e7 VI - 4 IP - 3 4099 - http://jnis.bmj.com/content/4/3/e7.short 4100 - http://jnis.bmj.com/content/4/3/e7.full SO - J NeuroIntervent Surg2012 May 01; 4 AB - Intracranial stenosis is associated with a high risk of ischemic events, even with medical treatment. Percutaneous transluminal angioplasty and stenting (PTAS) is an accepted intervention for addressing a moderate intracranial stenosis (≥50%) that is refractory to medical treatment. Distal emboli are seen in 34% to 70% of patients on MRI diffusion weighted images post PTAS. We present a unique case of an intracranial stenosis with a vulnerable plaque treated with PTAS under proximal flow reversal to decrease the risk of possible distal embolization.