Carotid artery near-occlusion (CANO) is a severe form of internal carotid artery (ICA) stenosis marked by marked narrowing of the post-stenotic distal ICA[1,2]. Imaging features of CANO include marked post-stenotic narrowing of the distal ICA, often accompanied by reduced flow, delayed contrast transit, and the presence of intracranial collateral circulation[1]. The degree of distal ICA narrowing in CANO can vary, ranging from a threadlike, markedly narrowed distal ICA in cases with full collaps…