Patent Foramen Ovale Closure in 2019

Patent foramen ovale (PFO) is a common abnormality affecting between 20% and 34% of the adult population. For most people it is a benign finding; however, in some the PFO can open widely, enabling a paradoxical embolus to transit from the venous to arterial circulation, which is associated with stro...

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Autores principales:	Joel P Giblett, Omar Abdul-Samad, Leonard M Shapiro, Bushra S Rana, Patrick A Calvert
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2019
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/18dbbd5bf0f94ba58700ac5a63ed068d
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spelling	oai:doaj.org-article:18dbbd5bf0f94ba58700ac5a63ed068d2021-12-04T16:00:58ZPatent Foramen Ovale Closure in 201910.15420/icr.2018.33.21756-14851756-1477https://doaj.org/article/18dbbd5bf0f94ba58700ac5a63ed068d2019-01-01T00:00:00Zhttps://www.icrjournal.com/articles/patent-foramen-ovale-closure-2019https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Patent foramen ovale (PFO) is a common abnormality affecting between 20% and 34% of the adult population. For most people it is a benign finding; however, in some the PFO can open widely, enabling a paradoxical embolus to transit from the venous to arterial circulation, which is associated with stroke and systemic embolisation. Percutaneous closure of PFO in patients with cryptogenic stroke has been undertaken for a number of years, and a number of purpose-specific septal occluders have been marketed. Recent randomised controlled trials have demonstrated that closure of PFO in patients with cryptogenic stroke is associated with reduced rates of recurrent stroke. After a brief overview of the anatomy of a PFO, this review considers the evidence for PFO closure in cryptogenic stroke. The review also addresses other potential indications for closure, including systemic embolisation, decompression sickness, platypnoea–orthodeoxia syndrome and migraine with aura. It lays out the pre-procedural investigations and preparation for the procedure. Finally, it gives an overview of the procedure itself, including discussion of closure devices.Joel P GiblettOmar Abdul-SamadLeonard M ShapiroBushra S RanaPatrick A CalvertRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 14, Iss 1, Pp 34-41 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Joel P Giblett Omar Abdul-Samad Leonard M Shapiro Bushra S Rana Patrick A Calvert Patent Foramen Ovale Closure in 2019
description	Patent foramen ovale (PFO) is a common abnormality affecting between 20% and 34% of the adult population. For most people it is a benign finding; however, in some the PFO can open widely, enabling a paradoxical embolus to transit from the venous to arterial circulation, which is associated with stroke and systemic embolisation. Percutaneous closure of PFO in patients with cryptogenic stroke has been undertaken for a number of years, and a number of purpose-specific septal occluders have been marketed. Recent randomised controlled trials have demonstrated that closure of PFO in patients with cryptogenic stroke is associated with reduced rates of recurrent stroke. After a brief overview of the anatomy of a PFO, this review considers the evidence for PFO closure in cryptogenic stroke. The review also addresses other potential indications for closure, including systemic embolisation, decompression sickness, platypnoea–orthodeoxia syndrome and migraine with aura. It lays out the pre-procedural investigations and preparation for the procedure. Finally, it gives an overview of the procedure itself, including discussion of closure devices.
format	article
author	Joel P Giblett Omar Abdul-Samad Leonard M Shapiro Bushra S Rana Patrick A Calvert
author_facet	Joel P Giblett Omar Abdul-Samad Leonard M Shapiro Bushra S Rana Patrick A Calvert
author_sort	Joel P Giblett
title	Patent Foramen Ovale Closure in 2019
title_short	Patent Foramen Ovale Closure in 2019
title_full	Patent Foramen Ovale Closure in 2019
title_fullStr	Patent Foramen Ovale Closure in 2019
title_full_unstemmed	Patent Foramen Ovale Closure in 2019
title_sort	patent foramen ovale closure in 2019
publisher	Radcliffe Medical Media
publishDate	2019
url	https://doaj.org/article/18dbbd5bf0f94ba58700ac5a63ed068d
work_keys_str_mv	AT joelpgiblett patentforamenovaleclosurein2019 AT omarabdulsamad patentforamenovaleclosurein2019 AT leonardmshapiro patentforamenovaleclosurein2019 AT bushrasrana patentforamenovaleclosurein2019 AT patrickacalvert patentforamenovaleclosurein2019
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Patent Foramen Ovale Closure in 2019

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