A 61-year-old woman with suspected PE is hemodynamically stable, D-dimer elevated, and CT-PA confirms segmental PE without RV strain. She started apix...

Question

A 61-year-old woman with suspected PE is hemodynamically stable, D-dimer elevated, and CT-PA confirms segmental PE without RV strain. She started apixaban. Should she receive thrombolysis?

Accepted Answer

No; anticoagulation alone

Answer

Yes, systemic thrombolysis for all PE

Answer

Yes, catheter-directed thrombolysis routinely

Answer

IVC filter plus anticoagulation

Answer

Observation only without anticoagulation

us-abim MCQ (SBA): Pulmonary embolism (thrombolysis indications)

A 61-year-old woman with suspected PE is hemodynamically stable, D-dimer elevated, and CT-PA confirms segmental PE without RV strain. She started apixaban. Should she receive thrombolysis?