Increased efficacy of internal carotid artery stenting using a low-profile stent with a tapered tip

Angioplasty and stent placement is becoming a widely accepted method of carotid artery revascularization. Two cases are presented where 1 standard low-profile stent failed to cross the lesion, but a different low-profile stent with a tapered tip delivery system was successfully deployed. The technical advantages of the tapered delivery system in certain anatomic situations are described.