Question

A 67-year-old man presents 14 hours after onset of right MCA stroke symptoms. Noncontrast CT shows no hemorrhage. CTA shows proximal M1 occlusion; perfusion imaging shows small core and large penumbra. What is indicated?

Accepted Answer

Endovascular thrombectomy within the extended window (up to 24 hours)

Answer

IV alteplase

Answer

Anticoagulation with heparin drip

Answer

No reperfusion therapy outside 6 hours

Answer

Immediate carotid endarterectomy

Practice question

A 67-year-old man presents 14 hours after onset of right MCA stroke symptoms. Noncontrast CT shows no hemorrhage. CTA shows proximal M1 occlusion; perfusion imaging shows small core and large penumbra. What is indicated?