Question

A 69-year-old with suspected acute ischemic stroke (AIS) and large vessel occlusion (LVO) presents 18 hours after last known well. Perfusion imaging shows a small core and large penumbra. Blood pressure is 150/90 mmHg. What is the appropriate management?

Accepted Answer

Mechanical thrombectomy per DAWN/DEFUSE selection criteria

Answer

Aspirin only

Answer

Recombinant tissue plasminogen activator (RTPA) now

Answer

Carotid stenting now

Answer

Heparin infusion

Practice question

A 69-year-old with suspected acute ischemic stroke (AIS) and large vessel occlusion (LVO) presents 18 hours after last known well. Perfusion imaging shows a small core and large penumbra. Blood pressure is 150/90 mmHg. What is the appropriate management?