Question

A 72-year-old with anterior circulation large-vessel occlusion presents 12 hours after last known well with favorable perfusion imaging. Best management?

Accepted Answer

Endovascular thrombectomy within extended window

Answer

No reperfusion beyond 6 hours

Answer

IV alteplase only

Answer

Aspirin and admission only

Answer

Intra-arterial fibrinolysis only

Practice question

A 72-year-old with anterior circulation large-vessel occlusion presents 12 hours after last known well with favorable perfusion imaging. Best management?