In the Western world, stroke is the second most normal reason for dementia, the most successive reason for super durable impedance, and the fourth most regular reason for mortality. Endovascular treatment for intense stroke has as of late gone through an upheaval based on effective multicenter randomized clinical preliminaries. For patients with critical vascular impediments, routine mechanical thrombectomy along with intravenous thrombolysis has been shown to have phenomenal outcomes. This strategy diminishes disability, and the benefits are seen in patients of any age and stroke seriousness levels. Season of shows, patient clinical status, imaging attributes, and lab tests are huge variables that impact treatment choices.

One of the leading causes of human disability and death is stroke. Around 80% of all strokes are acute ischemic strokes (AIS) .Recanalizing the blocked blood artery as soon as possible and saving the ischemic penumbra are essential components of AIS treatment. Because of its many benefits, including quick recanalization, a low rate of hemorrhagic transformation, and a prolonged window for stroke interventional therapy, endovascular treatment (EVT) in patients with large vessel occlusion (LVO) has received a lot of attention.

Key words Large vessels occlusion, a direct aspiration thrombectomy, stent retriever thrombectomy, and acute ischemic stroke.shows