This episode of ACCESS, the official podcast of Stroke: Vascular & Interventional Neurology, provides an overview of the fourth issue of 2022 of Stroke: Vascular & Interventional Neurology with summaries of the latest advances in vascular and interventional neurology by Editor-in-Chief, Ashu Jadhav. Then, Dr. James Siegler talks with Dr. Robert Regenhardt about his article in the issue on thrombectomy vs. medical management for basilar artery occlusion.