Question

A 57‑year‑old man presents 8 hours after disabling left MCA stroke; imaging shows proximal M1 occlusion and favorable perfusion. He received no tPA due to late arrival. Best next step?

Accepted Answer

Mechanical thrombectomy within 6-24 hours if imaging criteria met

Answer

Aspirin only

Answer

Therapeutic heparin infusion

Answer

IV tenecteplase 0.25 mg/kg now

Answer

No intervention after 6 hours

Practice question

A 57‑year‑old man presents 8 hours after disabling left MCA stroke; imaging shows proximal M1 occlusion and favorable perfusion. He received no tPA due to late arrival. Best next step?