Acute ischemic stroke due to large vessel occlusion (LVO) is a severe neurological emergency requiring fast and effective treatment. Endovascular therapy (EVT) is currently the most effective treatment, achieving successful reperfusion in up to 80–85 % of cases [1–3]. However, in patients with intracranial atherosclerotic disease (ICAD), complete recanalization is more difficult to achieve without rescue treatments such as angioplasty and stenting, leading to worse outcomes [4]. Independently fr…