A 65-year-old man had a provoked PE after hip surgery 2 months ago but now presents with hemoptysis and hypotension; CT shows saddle PE with RV strain...

Question

A 65-year-old man had a provoked PE after hip surgery 2 months ago but now presents with hemoptysis and hypotension; CT shows saddle PE with RV strain. No contraindications. Therapy?

Accepted Answer

Systemic thrombolysis plus anticoagulation

Answer

Anticoagulation only

Answer

IVC filter only

Answer

Aspirin

Answer

Catheter-directed thrombolysis is mandatory in all massive PE

us-abem MCQ (SBA): Massive PE Management

A 65-year-old man had a provoked PE after hip surgery 2 months ago but now presents with hemoptysis and hypotension; CT shows saddle PE with RV strain. No contraindications. Therapy?