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Correspondence
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Volume 330:863-864 March 24, 1994 Number 12
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The Diagnosis of Deep-Vein Thrombosis

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 by Heijboer, H.
To the Editor: Perhaps the most important finding in the study by Heijboer and coworkers comparing real-time compression ultrasonography with impedance plethysmography (Nov. 4 issue)1 is that the overwhelming majority of patients who present with suspected venous thrombosis prove not to have it when objective testing is used. The other important finding was that serial impedance plethysmography was as effective as serial compression ultrasonography in excluding venous thrombosis and achieving satisfactory outcomes in terms of a low incidence of thromboembolic recurrences when therapy was withheld. The authors chose, however, to emphasize the apparent superiority of compression ultrasonography over impedance plethysmography . . . [Full Text of this Article]

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