IN EXTREMIS ][
BEST MEDICAL TREATMENT
+
MECHANICAL THROMBECTOMY
FIRST LINE
LVO (ICA-T, M1, M1-M2, Tandem)
NIHSS 0-5
LAST SEEN WELL <24h
Randomization to arterial access
60 minutes
(recommended 45 ≤ minutes)
BEST MEDICAL TREATMENT
RESCUE THROMBECTOMY < 24h
if neurological deterioration
mRS at 90 days
evaluated by qualified and blinded to treatment assessors