A stroke occurs when a blood clot blocks a large blood vessel in the brain. This study tests a treatment called **Endovascular Thrombectomy (EVT)**, which is a procedure to remove the clot, to see if it helps patients who already have a disability. Usually, these patients were not included in past trials, so we don't know if it works well for them. To find out, the study compares EVT with another treatment called **Multimodal Medical Management (MMM)**, which uses medicines like blood thinners and blood pressure drugs.

To join, patients must be adults with a disability before the stroke, come to the hospital within 24 hours of the stroke, and have a specific type of blood vessel blockage. They cannot have terminal illnesses or temporary disabilities.

• Study Length: Join for the duration of your hospital stay and follow-up visits.
• Visits Required: You need to be seen at one of the 12 stroke centers.
• Compensation: Details are not mentioned, but participating helps improve treatment for similar patients.