Question

A 50-year-old with new left hemiparesis presents 7 hours after last known well. CT excludes haemorrhage; CTA shows proximal MCA occlusion with small core/large penumbra on perfusion imaging. Best reperfusion strategy?

Accepted Answer

Endovascular thrombectomy up to 24 hours in selected patients

Answer

IV alteplase now

Answer

Aspirin only and admit

Answer

Heparin infusion

Answer

No reperfusion beyond 6 hours

Practice question

A 50-year-old with new left hemiparesis presents 7 hours after last known well. CT excludes haemorrhage; CTA shows proximal MCA occlusion with small core/large penumbra on perfusion imaging. Best reperfusion strategy?