A 64-year-old arrives 9 hours after last known well with dense left hemiplegia. CT angiography shows right M1 occlusion. Perfusion imaging meets DAWN/...

Question

A 64-year-old arrives 9 hours after last known well with dense left hemiplegia. CT angiography shows right M1 occlusion. Perfusion imaging meets DAWN/DEFUSE‑3 criteria. What is indicated?

Accepted Answer

Endovascular thrombectomy

Answer

IV alteplase

Answer

Intra‑arterial thrombolysis only

Answer

Aspirin only and admit to stroke unit

Answer

No reperfusion therapy beyond 6 hours

us-abem MCQ (SBA): Acute Ischemic Stroke-Thrombectomy

A 64-year-old arrives 9 hours after last known well with dense left hemiplegia. CT angiography shows right M1 occlusion. Perfusion imaging meets DAWN/DEFUSE‑3 criteria. What is indicated?