<p>Intracranial atherosclerotic stenosis is a notable factor leading to ischemic strokes, with a sustained elevated risk of recurrence despite intensive medical management. Recent years have witnessed a surge in research focusing on interventional strategies for addressing this condition. This study seeks to assess the current state and future development paths of interventional therapies for intracranial atherosclerotic stenosis, offering critical insights and recommendations for future research endeavors in this field. A comprehensive bibliometric evaluation was conducted using the bibliometric analysis tools VOSviewer_1.6.20 and CiteSpace 6.3.1, sourcing data from the Web of Science Core Collection database. This analysis encompassed literature related to interventional treatments for intracranial atherosclerotic stenosis from 2004 to 2023, supplemented by graphical illustrations. Following a thorough screening process, we identified 3,384 articles suitable for inclusion in this analysis. An observable increase in publication volume has been noted over the last two decades, with the United States leading in the number of publications. Interestingly, China has shown a significant rise in publication activity in recent years, with Capital Medical University being a prominent contributor. Noteworthy authors in this domain include Derdeyn, C.P. and Levy, E.I., and the Journal of Neurointerventional Surgery has emerged as the primary venue for these articles. The domain of interventional treatments for intracranial atherosclerotic stenosis presents considerable potential for future developments, highlighting the need for a concerted approach towards personalized and precise therapeutic strategies grounded in rigorous multicenter research.</p>