ARMIN E. GOOD, M.D.
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To the editor: Moser and LeMoine (1) have found the combination of radiofibrinogen scanning and impedence plethysmography reliable in detecting and localizing deep venous thrombosis as proximal or distal. In their series, measured against the venogram, plethysmography missed no cases of proximal deep venous thrombosis and was dogged by no false-positive findings. The radiofibrinogen scanning likewise produced no false-negative but did show three positive readings for thrombosis associated with negative venograms. Noting mounting evidence that deep venous thrombosis limited to the calf is associated with very low danger for ensuing pulmonary embolism, they implied that clinicians may now be at
GOOD AE. Heparin Treatment of Deep Venous Thrombosis Without Venography. Ann Intern Med. ;95:515. doi: 10.7326/0003-4819-95-4-515_2
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Published: Ann Intern Med. 1981;95(4):515.
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