Aim To explore the feasibility, effectiveness and safety of double-stent thrombectomy in the treatment of acute basilar artery occlusion. Methods Five patients with cerebral infarction caused by acute basilar artery occlusion with heavy thrombus load were retrospectively analyzed. The patients were treated with Solitaire FR double-stent arallel thrombectomy. The operation time, blood flow reperfusion immediately after thrombectomy, 24-hour improvement of nerve function and mRS score of 90-day follow-up after thrombectomy were evaluated. Results Good recanalization of occluded vessels was achieved in five patients by double-stent arallel thrombectomy. The modified thrombolysis in cerebral infarction (mTICI) grading of the patients was 2b-3 grade, of which 4 cases were completely recanalized (mTICI 3 grade). No obvious complication related to operation was found. NIHSS score decreased by 10 points 24 hours after operation compared with that before operation. With follow-up of 90 days after operation, two patients had good prognosis, two were disabled and one died. Conclusion Solitaire FR double-stent arallel thrombectomy is safe and effective in the treatment of acute cerebral infarction patients with partial posterior circulation and heavy thrombosis load.