Question

A 63-year-old presents within 10 hours of last-known-well with right MCA syndrome. CT perfusion shows small core/large penumbra with proximal M1 occlusion. Best therapy?

Accepted Answer

Endovascular thrombectomy up to 24 hours in selected patients

Answer

IV alteplase only

Answer

No reperfusion because >6 hours

Answer

Start dual antiplatelet and admit

Answer

Heparin infusion instead of reperfusion

Practice question

A 63-year-old presents within 10 hours of last-known-well with right MCA syndrome. CT perfusion shows small core/large penumbra with proximal M1 occlusion. Best therapy?