Question

A 69-year-old presents 12 hours after onset of aphasia and right hemiparesis; CT perfusion shows small core with large mismatch due to M1 occlusion. What reperfusion strategy is recommended?

Accepted Answer

No reperfusion beyond 6 hours

Answer

IV alteplase only

Answer

Mechanical thrombectomy up to 16-24 hours in eligible patients

Answer

Therapeutic heparin infusion

Answer

Aspirin only

Practice question

A 69-year-old presents 12 hours after onset of aphasia and right hemiparesis; CT perfusion shows small core with large mismatch due to M1 occlusion. What reperfusion strategy is recommended?