A 63-year-old woman presented to the emergency department with a sudden onset of right hemiparesis and global aphasia beginning 30 min prior to arrival. Neurologic examination revealed decreased level of consciousness, right hemiparesis, aphasia, and a score of 15 on the National Institutes of Health Stroke Scale (NIHSS). The patient had a history of atrial fibrillation and was taking aspirin, but her pre-stroke modified Rankin scale score was 0. Brain computed tomography (CT) and CT angiography were performed. The Alberta stroke program early CT (ASPECT) score was 8 points, and occlusion of the left middle cerebral artery (MCA) M2-3 segment was demonstrated. Although the occlusion was in a distal branch of the left MCA, presentation within 6 h and NIHSS score of 15 were indications for mechanical thrombectomy according to the guidelines for healthcare professionals from the American Heart Association/American Stroke Association[].