A 61-year-old with ischemic stroke due to AF is admitted 10 hours from onset with LVO and favorable perfusion imaging. Optimal reperfusion approach?...

Question

A 61-year-old with ischemic stroke due to AF is admitted 10 hours from onset with LVO and favorable perfusion imaging. Optimal reperfusion approach?

Accepted Answer

Mechanical thrombectomy now (with IV alteplase if within window)

Answer

IV alteplase only

Answer

No reperfusion beyond 6 hours

Answer

Heparin infusion

Answer

Intra-arterial thrombolysis alone

"us-abem MCQ (SBA): Endovascular Therapy Selection