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Fig 2. A 50-year-old man presented with vertigo, ataxia, and right arm weakness. An angiogram of the left CCA revealed a symptomatic severe stenosis of the left carotid bulb (arrow) (A) and patency after stent placement (B). There were multiple severe stenoses (arrows) of the right CCA (adjacent tandem lesions) (C). Good patency was obtained after concomitant stent placement (D). He underwent additional angioplasty at the right CCA at 18 months because of asymptomatic severe restenosis (not shown) and remains asymptomatic during a 32-month follow-up period.