67-year-old gentleman experiences transient dysarthria, mild left-sided weakness and paresthesia of the left arm and leg. MRI demonstrates distal embolic strokes of the superior right frontal and parietal lobes. Symptomatic high-grade right Internal Carotid Artery (ICA) stenosis is confirmed. Contralateral high-grade asymptomatic stenosis of the left ICA was also present. Right ICA angioplasty and stenting with distal embolic protection was performed on a focal 80-90% post bulbar stenosis. He achieved complete and durable revascularization with complete functional recovery and return to his daily life. Revascularization of his asymptomatic left carotid artery is planned to further reduce his risk of a disabling stroke.