The aim of this paper is to investigate estimation and inference on a low-dimensional causal parameter in the presence of high-dimensional controls in an instrumental variable quantile regression. The estimation and inference are based on the Neyman-type orthogonal moment conditions, that are relatively insensitive to the estimation of the nuisance parameters. The Monte Carlo experiments show that the econometric procedure performs well. We also apply the procedure to reinvestigate two empirical studies:the quantile treatment effect of 401(k) participation on accumulated wealth, and the distributional effect of job-training program participation on trainee earnings.