Question

A 58-year-old stroke patient is 5 hours from last known well with NIHSS 18 and CT perfusion mismatch, eligible for thrombectomy. Regarding IV thrombolysis:

Accepted Answer

Tenecteplase 0.25 mg/kg IV bolus is a reasonable alternative to alteplase

Answer

Alteplase is contraindicated if thrombectomy planned

Answer

Tenecteplase 0.4 mg/kg is preferred over 0.25 mg/kg

Answer

Thrombolysis requires BP <160/90 mmHg

Answer

Start antiplatelet before thrombolysis

Practice question

A 58-year-old stroke patient is 5 hours from last known well with NIHSS 18 and CT perfusion mismatch, eligible for thrombectomy. Regarding IV thrombolysis: