Table 4. Key elements of the BADDASS approach⁴⁷⁾.

1	Tri-axial setup (balloon guide catheter, large bore distal access catheter, microcatheter)
2	Distal placement of a long stent retriever
3	Active push deployment
4	Removing and reloading the microcatheter
5	Applying traction to the stent wire
6	Releasing traction off the stent wire
7	Balloon inflation and double aspiration
8	Complete withdrawal of the stent–retriever–clot complex and distal access catheter

BADDASS: Balloon guide with large bore distal access catheter with dual aspiration with stent-retriever as standard approach