Chronic internal carotid artery occlusion (CICAO) is an important cause of ischemic stroke, despite patients receiving aggressive medical therapy [1,2]. Several studies have demonstrated that endovascular recanalization is a feasible treatment option for carefully selected patients with symptomatic chronic internal carotid artery occlusion (CICAO), with successful recanalization reducing the risk of subsequent ischemic events by approximately 80 % compared to medical therapy alone or unsuccessfu…