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Jauch 2013 AHA/ASA guidelines for treatment of acute stroke: Intra-arterial fibrinolysis is beneficial in select patients who are not otherwise candidates for IV rTPA (Class I; Level of Evidence B). Intra-arterial fibrinolysis or mechanical thrombectomy is reasonable in pts with contraindications to the use of IV fibrinolysis (Class IIa; Level ... ................
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