Inclusion Criteria Summary:  1. Patients presenting with acute ischemic stroke of the anterior circulation with large vessel occlusions who are eligible for revascularization using endovascular therapies (stentrievers and/or aspiration devices)  2. Occlusion of the intracranial ICA or MCA-M1 segments  3. Patient has failed transfemoral therapy (see Appendix 4 for definition), and at least 15 minutes have elapsed from groin puncture  Exclusion Criteria Summary:  1. Significant disease of the ipsilateral common carotid artery on routine CTA  2. Presence of a cervical ICA loop or other high-risk anatomical features of the ICA on routine CTA, that may preclude the use of the NOVIS NPS  3. Any active or recent hemorrhage within the past 30 days  4. Embolectomy contraindications  a. Pre-stroke mRS ≥2 b. NIHSS ≤ 5 c. ASPECTS ≤ 5  5. IV tPA has been or is being administered  6. Last known well > 24 hours ago