Anticoagulation is a very fine-tuned dance. To reassure you a bit, my former husband also had a PE. Thankfully, like your grandson, he had already been admitted for a blood clot in his groin & was in the midst of IV anticoagulation therapy when it broke loose & floated into his lung. He recovered and lived without any further episodes for the rest of his life. His blood clots came from a genetic disorder, not from renal failure.
I'm sure there is a lot of debate amongst the teams. No one likes to hear the words Pee Eee. Again - I'm so sorry you guys are having to go through this. As though dialysis isn't tough enough. <3 Take care of yourself.