Would you consider skipping intravenous thrombolysis in patients with tandem occlusions who qualify for endovascular thrombectomy?

In cases of tandem occlusions eligible for EVT, I typically administer thrombolytics if the patient is within the window. A common scenario involves an intracranial occlusion with an ipsilateral extracranial atherosclerotic lesion. However, I may consider withholding thrombolytics if there is an int...