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: The mainstay for most patients. Low-molecular-weight heparin (LMWH) is often preferred over unfractionated heparin (UFH) for initial treatment. Long-term management typically involves Direct Oral Anticoagulants (DOACs) like apixaban or rivaroxaban.

Patients with a first episode of unprovoked PE usually require anticoagulation for at least 3 to 6 months. Extended therapy may be necessary if persistent risk factors exist. Long-term monitoring is essential to detect rare complications like , which can present as persistent breathlessness months after the initial event. Download Embolie pulmonaire aiguГ« pdf

Treatment strategies are dictated by the patient's hemodynamic stability and risk category. : The mainstay for most patients

: When thrombolysis is contraindicated or fails, options include catheter-directed thrombectomy or surgical embolectomy. Prognosis and Follow-Up Patients with a first episode of unprovoked PE

: For high-risk (hemodynamically unstable) patients, systemic thrombolysis (e.g., Alteplase) is recommended to rapidly dissolve the clot.