Abstract
Atherosclerotic middle cerebral artery (MCA) stenosis is a devastating cause of cerebral ischemia and stroke, which portends a high recurrence rate despite medical therapy [1]. It is particularly prevalent in Asia with more diffuse lesion and tandem lesion, but relatively rare in North America [2,3]. Although percutaneous coronary intervention with stenting is a recommended treatment for patients with coronary artery stenosis nowadays [4], whether angioplasty and stenting should be performed for atherosclerotic MCA stenosis is still controversial.
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