Question

A 52-year-old presents 8 hours after onset of left hemiparesis. CT perfusion and CTA show large vessel occlusion with favorable perfusion mismatch. What is the best reperfusion strategy?

Accepted Answer

Mechanical thrombectomy up to 24 hours in selected patients

Answer

IV alteplase only; thrombectomy window is <=6 hours

Answer

No reperfusion due to time window

Answer

Intra-arterial fibrinolysis only

Answer

Anticoagulation with heparin

Practice question

A 52-year-old presents 8 hours after onset of left hemiparesis. CT perfusion and CTA show large vessel occlusion with favorable perfusion mismatch. What is the best reperfusion strategy?