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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We read with great interest the article by Klerk et al¹ about thrombosis in patients with a central venous catheter, in which the authors performed a critical review of the published data up to May 2002. At present, to our knowledge, only 2 prospective studies on thromboprophylaxis in cancer patients with a central venous catheter have been published.^2-3 In their conclusion, Klerk et al¹ highlighted the need for more prospective studies, notably comparing various forms of thromboprophylaxis. We would like to bring to their attention a study that we recently published, comparing for the first time 2 thromboprophylactic approaches.⁴

According to the definition used by Klerk et al,¹ our study was a level 1 study. It was a prospective, randomized, open pilot trial, performed in 59 cancer patients with solid tumors in whom a port catheter was implanted in the subclavian (n = 56) or jugular (n = 3) vein. . . . [Full Text of this Article]

Silvy Laporte, MS, PhD; Hervé Decousus, MD; Patrick Mismetti, MD, PhD
Saint-Etienne, France

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