Multiple randomized controlled trials (RCTs) have demonstrated that endovascular thrombectomy (EVT) is effective in reducing disability in patients with acute ischemic stroke and large vessel occlusion (LVO) [1–8]. The 2013 international consensus established the modified Thrombolysis in Cerebral Infarction (mTICI) scale as the standard for evaluating post-endovascular thrombectomy (EVT) reperfusion, based on its superior inter-rater reliability and predictive validity for clinical outcomes. Whi…