Question

A 59-year-old presents 10 hours after last known well with severe left MCA syndrome; CTA shows proximal M1 occlusion. Which is appropriate?

Accepted Answer

Mechanical thrombectomy if favorable perfusion mismatch up to 24 hours

Answer

Not a candidate because >6 hours

Answer

IV alteplase

Answer

Aspirin alone

Answer

Therapeutic heparin

Practice question

A 59-year-old presents 10 hours after last known well with severe left MCA syndrome; CTA shows proximal M1 occlusion. Which is appropriate?