A 63-year-old with suspected ischemic stroke presents 5 hours after last known well. Imaging shows a large-vessel occlusion with salvageable penumbra ...

Question

A 63-year-old with suspected ischemic stroke presents 5 hours after last known well. Imaging shows a large-vessel occlusion with salvageable penumbra on perfusion imaging. Recommended therapy?

Accepted Answer

Mechanical thrombectomy within appropriate extended window with imaging selection

Answer

IV alteplase only

Answer

No reperfusion therapy due to time window

Answer

Aspirin only

Answer

Therapeutic heparin infusion

us-abem MCQ (SBA): Acute Ischemic Stroke (Thrombectomy)

A 63-year-old with suspected ischemic stroke presents 5 hours after last known well. Imaging shows a large-vessel occlusion with salvageable penumbra on perfusion imaging. Recommended therapy?