Anticoagulation (prevents clot propagation along<unk> g lumen) followed by vascular repair is the generally accepted treatment.
Obtain emergent vascular surgery consult for possible endovascular intervention
Do not give if<unk>  enters the skull (ie Intracranial)
Do not give if aorta is involved
Otherwise, give according to same guidelines as for ischemic CVA (see CVA (tPA))
Very controversial with poor data
Heparin: If<unk>  causes neuro deficits and is EXTRACRANIAL
Aspirin: If<unk>  is INTRACRANIAL
Aspirin: If<unk>  is extracranial but no neuro deficit, for prevention of thromboembolic event
If tPA was given, wait 24hr before starting antiplatelet therapy
Do not give if NIHSS score ≥ 15 (risk of hemorrhagic transformation)
Vertebral and carotid artery dissection
Penetrating neck trauma
Subarachnoid hemorrhage
Blunt neck trauma
Post-tPA Hemorrhage in CVA
Subdural hemorrhage
Strangulation
Ischemic stroke