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Volume 339:46-48 July 2, 1998 Number 1
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Vena Caval Filters for the Prevention of Pulmonary Embolism

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 by Decousus, H.
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To the Editor: In their report of the efficacy and safety of vena caval filters in patients with proximal deep-vein thrombosis, Decousus et al. (Feb. 12 issue)1 conclude that the initial benefit of vena caval filters for the prevention of pulmonary embolism was counterbalanced by an excess of recurrent deep-vein thrombosis, without any difference in mortality.

In their study, the filters did reduce the rate of mortality from pulmonary embolism within 12 days after randomization. Four of five patients in the no-filter group died of pulmonary embolism, as compared with none of five patients in the filter group. Although the . . . [Full Text of this Article]

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