An interactive, case-based discussion exploring challenging thrombolysis decisions in acute ischemic stroke. Through real-world clinical scenarios involving stroke mimics, recent DOAC exposure, recent STEMI, recent ischemic stroke, and extensive early ischemic changes on CT, the session will examine how clinicians approach complex treatment decisions.

Participants will anonymously vote on their preferred management approach before the evidence and guideline recommendations are revealed, followed by a discussion on individualized benefit–risk assessment and how contempor