A 72-year-old with AF presents with stroke symptoms; last known well 16 hours ago; CTA shows proximal MCA occlusion with favorable perfusion. BP 168/9...

Question

A 72-year-old with AF presents with stroke symptoms; last known well 16 hours ago; CTA shows proximal MCA occlusion with favorable perfusion. BP 168/92. Next step?

Accepted Answer

Mechanical thrombectomy candidate after BP management

Answer

IV alteplase

Answer

Heparin infusion

Answer

Aspirin only

Answer

No therapy

us-abem MCQ (SBA): Stroke-Late Window Thrombectomy

A 72-year-old with AF presents with stroke symptoms; last known well 16 hours ago; CTA shows proximal MCA occlusion with favorable perfusion. BP 168/92. Next step?