Question

A 67-year-old awoke 10 hours ago with aphasia and dense right hemiparesis. CTA shows proximal left M1 occlusion; perfusion imaging demonstrates salvageable penumbra. What is indicated?

Accepted Answer

Heparin infusion

Answer

IV tPA only (outside 4.5 h)

Answer

Aspirin alone

Answer

Mechanical thrombectomy up to 24 hours in selected patients

Answer

No reperfusion therapy outside 6 hours

Practice question

A 67-year-old awoke 10 hours ago with aphasia and dense right hemiparesis. CTA shows proximal left M1 occlusion; perfusion imaging demonstrates salvageable penumbra. What is indicated?