Right ACA Occlusion on mCTA - Decision making:
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Patient improved spontaneously after the baseline CT/ CTA.
No IV thrombolysis- elevated INR
No IR- distal occlusion, clinically improved
After 4 hours, patient deteriorates clinically with new onset acute right leg weakness.
Repeat CT/ CTA: No changes in findings
Planned for endovascular thrombectomy. After transferring to angio-suite, patient again improved. It was decided to manage conservatively with close monitoring.
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