To the Editor: In their report of the efficacy and safety ofvena caval filters in patients with proximal deep-vein thrombosis,Decousus et al. (Feb. 12 issue)1 conclude that the initial benefitof vena caval filters for the prevention of pulmonary embolismwas counterbalanced by an excess of recurrent deep-vein thrombosis,without any difference in mortality.
In their study, the filters did reduce the rate of mortalityfrom pulmonary embolism within 12 days after randomization.Four of five patients in the no-filter group died of pulmonaryembolism, as compared with none of five patients in the filtergroup. Although the . . . [Full Text of this Article]
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