Question

A 44-year-old woman presents 1 hour after onset of right hemiparesis and aphasia. CT perfusion shows large penumbra with proximal MCA occlusion. Best reperfusion strategy?

Accepted Answer

IV alteplase if eligible plus emergent mechanical thrombectomy

Answer

Mechanical thrombectomy alone without tPA even if eligible

Answer

Heparin infusion

Answer

Aspirin only

Answer

Delay thrombectomy until MRI next day

Practice question

A 44-year-old woman presents 1 hour after onset of right hemiparesis and aphasia. CT perfusion shows large penumbra with proximal MCA occlusion. Best reperfusion strategy?