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Detection of Patent Foramen Ovale. Transesophageal Echocardiography and Transcranial Doppler Sonography With Ultrasound Contrast Media are "Supplementary, Not Competing, Diagnostic Methods"
Med Klin 94:367-370, Heckmann,J.G.,et al, 1999
See this aricle in Pubmed

Article Abstract
TEE and c-TCD are not concurrent diagnostic tools to detect PFO. Both supplement each other. If both methods are used in all PFO-suspected patients, PFO detection rate is higher than when using either method alone.
 
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