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Figure 1 An 82-year-old woman with a previous anterior MI (LVEF 25%) presented with unstable angina due to a critical left circumflex coronary artery stenosis. After a successful coronary intervention, carotid angiography showed critical, tandem (arrows) right carotid lesions (A) with an occluded contralateral internal carotid artery. Two (15-mm) Johnson & Johnson biliary stents were placed, with the proximal stent covering the distal common carotid artery (B), with excellent angiographic results. Intracerebral angiography showed excellent collateral filling (C) from the right carotid to the left anterior cerebral and middle cerebral arteries. (D) Follow-up duplex ultrasound at six months showed a widely patent stent. RT ICA = right internal carotid artery.