Which of the following is an exclusion criterion for thrombectomy?

• A. Intracranial hemorrhage
• B. SBP 190/100
• C. Glycemia 110
• D. Occlusion of MCA

Answer: (A)

Active intracranial bleeding seen on brain imaging is an exclusion for thrombectomy because the goal of the procedure is to restore blood flow in a clot that is causing ischemia, and introducing mechanical intervention in the setting of ongoing bleeding can worsen the hemorrhage and lead to poorer outcomes. The other factors here do not automatically exclude treatment: blood pressure above a target range can be managed medically to meet safety thresholds, a normal glucose level like 110 is acceptable, and an MCA occlusion is exactly the kind of lesion thrombectomy is designed to treat. So the presence of intracranial hemorrhage is the reason this option stands out as an exclusion criterion.