This study is about helping people who have a kind of stroke called an acute ischemic stroke (AIS). In these strokes, blood flow is blocked in important brain arteries. The study wants to see if using a small tube (called a stent) in a neck artery is better than not using it. The study compares two groups: one gets the stent, and the other does not, but both get a treatment called mechanical thrombectomy (MT), which uses special tools to clear the blockages.

Key Points:

• Study lasts one year with check-ups at 3 months and one year.
• Participants must be between 18 and 79 years old.
• Cannot participate if pregnant or have certain health conditions.

Both treatments use devices approved by the FDA (Food and Drug Administration) and follow specific instructions. Participants will be randomly put into one of the two groups. Doctors will decide the exact order of procedures based on each patient's needs. This study is important to find the best way to treat these serious strokes.