The invention provides a head and neck artery acute occlusion thrombus extraction device, and belongs to the technical field of medical instrument structures. The device comprises a saccule guide catheter, a micro catheter, a micro guide wire and a thrombus taking bag; the saccule guide catheter is an inflating ball which is capable of being inflated and deflated and installed on the outer wall of the guide catheter, the micro catheter is arranged in the guide catheter and serves as a conveying channel of the thrombus taking bag, an opening of the thrombus taking bag is fixed by two micro metal wires, after being unfolded, the opening of the bag is opened into a round shape and tightly attached to the vessel wall, the thrombus taking bag is cylindrical, the caliber is gradually reduced, friction on the vessel wall is reduced, vascular intimal injury is reduced, holes of 100-150 um are densely distributed in the bag, and blood flow is smooth. When the thrombus extraction device is used, thrombi are smashed with the micro guide wire to be collected after the bag is unfolded, or the bag can be directly pulled down to collect the thrombi. The head and neck artery acute occlusion thrombus extraction device is reasonable in structural design, easy to operate and capable of completely capturing the thrombi and preventing the thrombi from escaping.