like this TPA why not just had a surgical procedure right so TPA you have to think carefully before you give it because TPA can be a double-edged sword right it can cause bleeding as well as dissolve a blood clot so somebody who's either already got a big stroke or who has just had a surgical procedure TPA could be a problem so what other option would you have that wouldn't involve TPA yeah one of these clot removal devices and this was a patient who was in the hospital very shortly after that corkscrew-like