Question

A 59-year-old with disabling right MCA stroke at 10 hours from last known well has CT perfusion showing small core and large penumbra with LVO. Best management?

Accepted Answer

Mechanical thrombectomy in selected patients up to 24 hours from onset

Answer

Not eligible for reperfusion after 6 hours

Answer

IV tenecteplase only

Answer

Aspirin and admit; no thrombectomy beyond 6 hours

Answer

Heparin infusion

Practice question

A 59-year-old with disabling right MCA stroke at 10 hours from last known well has CT perfusion showing small core and large penumbra with LVO. Best management?