Learning Points This case report on an entrapped embolic protection device during carotid artery stenting highlights the complexity of managing such complications. It underscores the importance of a multidisciplinary approach, the potential need for open surgical intervention when endovascular retrieval fails, and the benefits of concurrent carotid endarterectomy. Furthermore, this case also emphasizes the critical role of thrombus management and effective clinical decision-making in the face of procedural challenges. These insights contribute valuable knowledge to the field, offering practical guidance for clinicians on managing similar cases and reinforcing the need for preparedness for unexpected outcomes in interventional procedures.