Question

A 50-year-old presents 3 hours after right-sided weakness and aphasia; NIHSS 12; noncontrast CT normal; no contraindications. Best reperfusion strategy timing?

Accepted Answer

IV alteplase within 4.5 hours of onset

Answer

No reperfusion after 3 hours

Answer

Endovascular thrombectomy only if outside 6 hours

Answer

Dual antiplatelet therapy instead of thrombolysis

Answer

Heparin infusion

Practice question

A 50-year-old presents 3 hours after right-sided weakness and aphasia; NIHSS 12; noncontrast CT normal; no contraindications. Best reperfusion strategy timing?