IN EXTREMIS ][
FLOW CHART
LVO (ICA-T, M1, M1-M2, Tandem)
ASPECTS 0-5
NIHSS > 5
LAST SEEN WELL ≤ 6,5 h
or
negative FLAIR on MRI if LSW is unknown
Best medical treatment
+
MECHANICAL THROMBECTOMY
Randomization to arterial access
30 minutes
Best medical treatment
mRS at 90 and 180 days
evaluated by qualified and blinded to treatment assessors