Question

A 70-year-old presents 10 hours after last-known-well with left hemiparesis, NIHSS 13. CT angiography shows proximal right M1 occlusion; CT perfusion shows salvageable penumbra. What is indicated?

Accepted Answer

Mechanical thrombectomy up to 24 hours in selected patients

Answer

No reperfusion given >6 hours

Answer

IV alteplase only

Answer

Therapeutic heparin infusion

Answer

Aspirin 81 mg only

Practice question

A 70-year-old presents 10 hours after last-known-well with left hemiparesis, NIHSS 13. CT angiography shows proximal right M1 occlusion; CT perfusion shows salvageable penumbra. What is indicated?