Description of the study: Multicenter Randomized clinical trial with two intervention arms. The SIBERIA study demonstrated a clear advantage of CGuard stent implantation over the existing classical stent when using a distal anti-embolic device. At the same time, there is no Level 1 evidence for a difference between the proximal and distal anti-embolic device for the CGuard stent.
The main objective of this randomized control Study is to compare distal EPS versus proximal EPS in the incidence of New DW-MRI lesions post-procedural 24-48h and Death, Stroke, and Myocardial Infarction (DSMI) at Procedural, 48h, and 30 days