急性缺血性脑卒中是我国居民致残、致死的首位病因，对社会的经济发展及卫生健康带来严峻的挑 战。机械取栓作为近年来迅速发展的治疗方法，其疗效已经得到全球的认可。本文从机械取栓中部分适 应证的近期研究、直接取栓与桥接取栓有效性及安全性的比较、解剖通路困难引起的机械取栓失败这三大 方面进行总结。

Acute ischemic stroke (AIS) ranks as the leading cause of disability and mortality among Chinese residents, posing severe challenges to societal economic development and public health. Mechanical thrombectomy, as a rapidly evolving treatment method in recent years, has gained global recognition for its efficacy. This article summarizes three major aspects: recent research on select indications within mechanical thrombectomy, comparisons of effectiveness and safety between direct thrombectomy and bridging therapy, and failures in mechanical thrombectomy due to anatomical access challenges.