Treatment of choice in a patient with Massive PE with shock is-

Treatment of choice in a patient with Massive PE with shock is-

A Thrombolysis
B LMWH
C Surgical embolectomy
D aggressive fluid therapy

C option is doubt. When it will be ans. Plz explain

A to be done in case of emergency to save the pt

Yes i know thrombolysis need to be done bt which method of thrombus removal will be done…my doubt is thrombolysis cn be done by rtPA Or via surgical catheterization we can do thrombolysis …by surgical method why r we chosing rtpa here .