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- W2074246811 abstract "Objective: To determine the prevalence of venous thrombosis in patients with suspected paradoxical embolism. Design: Observational study. Patients: Two hundred sixty-four patients with clinically suspected embolic events underwent contrast transesophageal echocardiographic evaluation. Forty-nine patients (24 women, 25 men) had a patent foramen ovale. Forty-one patients had acute stroke, and 8 had acute limb ischemia. Setting: Echocardiography laboratory of a community hospital. Measurements: The presence of a patent foramen ovale was assessed by transesophageal contrast echocardiography. Forty-two patients had venographic evaluation of the lower-extremity venous system. Results: Venous thrombosis was clinically suspected in 6 patients and documented in 24 of the 42 patients with patent foramen ovale who underwent venographic study (57%; 95% CI, 41% to 72%). Venous thrombosis was confined to calf or popliteal veins in 15 cases. Fifteen of 17 patients who had venographic evaluation within 7 days of the index event had thrombosis compared with 9 of 25 patients who had later evaluations (P = 0.001). More patients with venous thrombosis than without venous thrombosis had a history of previous thromboembolism (13 of 24 compared with 1 of 8, respectively; P = 0.001). Conclusion: When a patent foramen ovale is detected in a patient with embolism, occult leg vein thrombosis is frequently present." @default.
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- W2074246811 date "1993-09-15" @default.
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- W2074246811 title "The Prevalence of Deep Venous Thrombosis in Patients with Suspected Paradoxical Embolism" @default.
- W2074246811 doi "https://doi.org/10.7326/0003-4819-119-6-199309150-00003" @default.
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