We have successfully implemented endovascular stenting in a patient with severe innominate artery (IA) occlusion with aid of carotid filter under the guidance of digital subtraction angiography (DSA). The patient had amaurosis for 1 year and right upper extremity numbness for half a year. He had a history of hyperlipidemia for 1 year and smoking for 30 years. Combined with magnetic resonance angiography (MRA) and computed tomographic angiography (CTA) examinations, he was diagnosed as severe IA occlusion. After pre-operative assessment, we decided to use the right femoral artery and right brachial artery as double entries. With the help of distal internal carotid artery (ICA) filter as cerebral protective umbrella, we successfully performed the endovascular stenting in the innominate artery. Through this case we can learn that the interventional therapy is the first choice for patients with IA occlusive disease due to its safety, effectiveness and high success rate. The proper selection and application of cerebral protective umbrellas (carotid filter) have great significance in the prevention of cerebral infarction.