A 41-year-old with suspected acute ischemic stroke arrives 9 hours after last known well; CT perfusion shows small core, large penumbra, M1 occlusion....

Question

A 41-year-old with suspected acute ischemic stroke arrives 9 hours after last known well; CT perfusion shows small core, large penumbra, M1 occlusion. Next step?

Accepted Answer

Mechanical thrombectomy

Answer

IV alteplase

Answer

No reperfusion; outside window

Answer

Aspirin only

Answer

Heparin infusion

us-abem MCQ (SBA): Extended-Window Thrombectomy

A 41-year-old with suspected acute ischemic stroke arrives 9 hours after last known well; CT perfusion shows small core, large penumbra, M1 occlusion. Next step?