Large MCA infarct 15 h after LKW – ASPECTS 3 — go straight to thrombectomy, or get CT perfusion first?
76F, baseline mRS 1, AF on sub-therapeutic warfarin, global aphasia with R-sided hemiplegia. NCCT ASPECTS 3, left M1 occlusion, LKW 15 h ago. Late window — pull straight to angio or get CTP first?