Question

A 63-year-old with LVO (M1 occlusion) presents 10 hours after last-known-well, perfusion imaging shows small core with large penumbra. Best reperfusion approach?

Accepted Answer

Endovascular thrombectomy within the extended 6-24 h window

Answer

IV alteplase only

Answer

No reperfusion beyond 6 h

Answer

Full-dose heparin

Answer

Thrombolysis plus thrombectomy only if NIHSS <6

Practice question

A 63-year-old with LVO (M1 occlusion) presents 10 hours after last-known-well, perfusion imaging shows small core with large penumbra. Best reperfusion approach?