Background: Friable, ulcerated, and thrombotic material may embolize during the intervention in lesions blocking the carotid artery. Plethora of safety measures have been implemented to reduce the chance of embolic incidents. According to the study's objectives, carotid artery stenting with a distal protection device was safe and effective. The patient and the procedure are as follows: Thirty patients with symptoms associated with carotid stenosis were studied at Benha University Hospitals after they had extracranial carotid artery angioplasty and stenting using a distal protection device. Remaining stenosis was found to be less than 20% in 27 patients (90%) whereas residual stenosis ranged from 20-40% in 2 (6.7%) and was more than 40% in 1 patient due to tense calcifications. The only person who had a little stroke had already progressed to a severe or deadly Stroke. One patient had an intracranial haemorrhage, while another had a temporary rise in creatinine that was corrected on its own accord after it occurred. Using cerebral protection devices to avoid distal embolization during carotid endovascular operations is possible and beneficial. While the immediate postoperative and intraprocedural outcomes are promising,