Stroke surgery and thrombectomy are critical interventions aimed at restoring blood flow to the brain during an ischemic stroke, which occurs when a blood clot blocks a cerebral artery. Mechanical thrombectomy is a minimally invasive procedure in which a neurointerventional surgeon navigates a catheter through the arteries to the site of the clot and physically removes it, often using stent retrievers or aspiration devices. This procedure is typically performed within a time window of 6 to 24 hours from stroke onset, depending on imaging results and patient condition. In addition to thrombectomy, some patients may undergo surgical decompression (hemicraniectomy) to relieve pressure caused by brain swelling after a large stroke. These interventions are crucial for reducing long-term neurological deficits, improving recovery, and enhancing quality of life for stroke patients.

• Purpose: Restore blood flow to the brain during ischemic stroke.
• Mechanical Thrombectomy: Minimally invasive removal of blood clots via catheter.
• Tools Used: Stent retrievers, aspiration catheters.
• Time-Sensitive: Ideally performed within 6–24 hours of stroke onset.
• Surgical Decompression: Hemicraniectomy to relieve pressure from brain swelling.
• Benefits: Reduces risk of permanent neurological damage and improves functional recovery.
• Diagnostic Support: CT/CTA, MRI/MRA, and perfusion imaging guide patient selection.