Sub Massive Pulmonary Embolism

The patient with sub massive pulmonary embolism is a little bit different. And we really have to wrist stratify this group and understand that sub massive pulmonary Embolism exists on a spectrum. If the patient is low risk for decompensation, high risk for bleed, then i'm ing to wait for interventional because i can wait. But if they're just not going to be able to tolerate the weight for interventional or for embalectome, we should be reaching for systemic lytics. The one we haven't talked about is the patient whose highrisk for bleed,High risk for d compensation. A lot of risk here, but i still think you have to reach for alt