What is Emergency Medicine -How do I deal with a patient who has a major vessel occlusion (LVO)?10/31/2022 What is Emergency Medicine -How do I deal with a patient who has a major vessel occlusion (LVO)? LVO patients should be treated in the same manner as other stroke patients, including the possible injection of tPA. tPA administration shouldn't be postponed because the use of IV thrombolytics does not prevent a patient from obtaining mechanical thrombectomy. Vascular imaging, usually computed tomography angiography (CTA), which may detect clots and reveal blood flow through big vessels, is necessary for the detection of LVO.
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