A 71-year-old woman with right MCA large-vessel occlusion presents 10 hours after last known well. CT perfusion shows small core with large penumbra. ...

Question

A 71-year-old woman with right MCA large-vessel occlusion presents 10 hours after last known well. CT perfusion shows small core with large penumbra. Best reperfusion strategy?

Accepted Answer

Emergent mechanical thrombectomy

Answer

IV alteplase only

Answer

No reperfusion; window exceeded

Answer

Begin dual antiplatelet therapy immediately

Answer

Heparin infusion and defer intervention

us-abem MCQ (SBA): Large-Vessel Occlusion Stroke

A 71-year-old woman with right MCA large-vessel occlusion presents 10 hours after last known well. CT perfusion shows small core with large penumbra. Best reperfusion strategy?