A 71-year-old presents 8 hours after last-known-well with left hemiparesis; CTA shows right M1 occlusion. Perfusion imaging shows a small core with la...

Question

A 71-year-old presents 8 hours after last-known-well with left hemiparesis; CTA shows right M1 occlusion. Perfusion imaging shows a small core with large penumbra. What is recommended?

Accepted Answer

Endovascular mechanical thrombectomy

Answer

IV alteplase only

Answer

No reperfusion therapy outside 6 hours

Answer

Aspirin and admit to stroke unit

Answer

Full-dose heparin drip

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

A 71-year-old presents 8 hours after last-known-well with left hemiparesis; CTA shows right M1 occlusion. Perfusion imaging shows a small core with large penumbra. What is recommended?