Best treatment for massive pulmonary embolism:: (A) Intravenous tissue plasminogen activator, (B) Heparin, (C) Pulmonary thrombo-embolectomy, (D) Low molecular weight heparin + warfarin
Answer is A. Ans. A. Intravenous tissue plasminogen activator* Massive pulmonary embolism is best managed by thrombolysis using tissue plasminogen activator.* In case thrombolysis is contraindicated then in these patient fogarty catheter removal of clot in pulmonary artery would be done.* In submassive pulmonary embolism heparin is used. Chronic pulmonary embolism leading to pulmonary- hypertension (known as chronic thromboembolic hypertension) is treated with a surgical Procedure known as a pulmonary thromboendarterectomy