Question

A 62-year-old with witnessed onset of left hemiparesis 10 hours ago has CTA showing proximal M1 occlusion and perfusion imaging consistent with salvageable penumbra. What is recommended?

Accepted Answer

Mechanical thrombectomy in selected patients up to 24 hours from last-known-well

Answer

No reperfusion options beyond 6 hours

Answer

IV alteplase only

Answer

Aspirin 325 mg now and admit

Answer

Immediate anticoagulation with heparin infusion

Practice question

A 62-year-old with witnessed onset of left hemiparesis 10 hours ago has CTA showing proximal M1 occlusion and perfusion imaging consistent with salvageable penumbra. What is recommended?