19th July 2023

A 93-year-old woman presents to the ED at 13:20 with new onset left-sided weakness.

A 93-year-old woman presents to the ED at 13:20 with new onset left-sided weakness. Her husband explains he last saw her well at 11:00 that morning. The patient has a history of atrial fibrillation and chronic kidney disease stage 4. She and her husband live independently. CT imaging of the brain demonstrated a right MCA thrombus.

What is the most appropriate acute management for this patient?

Select the SINGLE most appropriate option from the list below. Select ONE option only.