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. 2019 May 16;10:428. doi: 10.3389/fneur.2019.00428

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Copyright © 2019 Xu, Quan, Zaidat, Chen, Wang, Yuan, Yan, Lu and Guan.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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A patient who had a previous history stroke and presented again with recurrent TIAs recently. (A,B) Right internal carotid arteriogram on anteroposterior and lateral view demonstrated a focal severe (90%) stenosis of the right supraclinoid ICA with flow reduction in the distal territory. (C) A 0.014 inch microwire was anchored in the distal branch of the MCA with the microwire tip manipulated a U- shaped loop inside the vessel. (D) The stenotic lesion was dilated with a 3.5 × 9-mm Gateway balloon. (E) The lesion showed significant improvement of the stenosis immediately after angioplasty. (F) and G. A 4.5 × 15-mm Neuroform EZ stent was deployed across the lesion, Final angiography showed near 20% residual stenosis with flow augmentation in the distal territory.