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Tuesday, March 29, 2022

Large Vessel Stroke

emdocs
emDocs - March 28, 2023 By Zack Brady; Maggie Moran; Brit Long
Review by: Alex Koyfman
„Pearls
  • Patients who present with symptoms of large vessel occlusion stroke should receive both a non-contrast CT scan of the head and a CT angiogram of the head and neck. CT perfusion imaging, if available, can assist.
  • Mechanical thrombectomy has clear benefit for patients with acute ischemic stroke secondary to a large vessel occlusion in the proximal anterior cerebral artery if treated within 6 hours.
  • Benefit of mechanical thrombectomy is likely in patients with LVOs who present in the 6-24 hour time frame, but should be based on clinical deficits and imaging.
  • Thrombectomy should be pursued if indicated in patients, regardless of tPA status“