Question

A 63-year-old with last-known-well 9 hours ago has left MCA syndrome. CT perfusion shows a small core and large penumbra; CTA shows proximal M1 occlusion. Best therapy?

Accepted Answer

Endovascular thrombectomy

Answer

IV alteplase only

Answer

Aspirin 325 mg only

Answer

Subcutaneous heparin

Answer

No reperfusion therapy due to time window

Practice question

A 63-year-old with last-known-well 9 hours ago has left MCA syndrome. CT perfusion shows a small core and large penumbra; CTA shows proximal M1 occlusion. Best therapy?