Acute ischemic stroke (AIS) is a disease characterized by high disability and mortality rates. With advances in modern medicine, the treatment of AIS has continuously evolved. Mechanical thrombectomy (MT) has become a cutting-edge and effective therapeutic approach for AIS. Previous evidence has revealed the significance of blood pressure management after MT, demonstrating a close correlation with both short-term and long-term survival rates. Here, we extensively review recent research literature and systematically describe blood pressure management after MT for AIS, involving target blood pressure values after MT, the correlation between blood pressure variability and prognosis, blood pressure monitoring, and blood pressure management. This review may provide references for future clinical practice and research.