Question

A 69-year-old with acute ischemic stroke 5 hours after onset has ASPECTS 10 and large-vessel occlusion (M1). What reperfusion strategy is recommended?

Accepted Answer

Mechanical thrombectomy up to 6 hours (and extended windows in select cases)

Answer

IV alteplase only

Answer

No reperfusion beyond 4.5 hours

Answer

Fibrinolysis plus no thrombectomy

Answer

Observation only

Practice question

A 69-year-old with acute ischemic stroke 5 hours after onset has ASPECTS 10 and large-vessel occlusion (M1). What reperfusion strategy is recommended?