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Correspondence
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Volume 332:1104-1105 April 20, 1995 Number 16
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Clinical Problem-Solving: Recurrent Pulmonary Emboli

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 by Pauker, S. G.
To the Editor: The commentary in the Clinical Problem-Solving article on recurrent pulmonary emboli (Dec. 1 issue)1 states that there have been no controlled trials of the placement of inferior-vena-caval filters to treat thromboembolism and includes the pejorative statement that physicians "shudder at the thought" of having a filter permanently located in the inferior vena cava. For patients who cannot receive anticoagulant therapy for pulmonary embolism, it is unlikely that a randomized, controlled trial of mechanical protection by a vena-caval filter as compared with no treatment could be conducted, since the original study by Barritt and Jordan of the effectiveness . . . [Full Text of this Article]

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