86 yo Patient with Poor ASPECTS, EVT, Good Outcome

86 year old male presenting with acute left sided weakness and facial droop, 3 hours from onset. NIHSS >15. Known A-fib on epixaban. Independent, living in home.

Baseline imaging: NCCT: 09:00 am  

ASPECTS: Caudate, lentiform nucleus, insula, M1, M2, M3 involved; ASPECTS score: 4