Transcatheter Closure of Patent Foramen Ovale: A Single Center Experience

Milev, Ivan; Zafirovska, Planinka; Zimbakov, Zan; Idrizi, Shpend; Ampova-Sokolov, Vilma; Gorgieva, Emilija; Ilievska, Liljana; Tosheski, Goce; Hristov, Nikola; Georgievska-Ismail, Ljubica; Anguseva, Tanja; Mitrev, Zan

doi:10.3889/oamjms.2016.113

Cited by 4 publications

(4 citation statements)

References 35 publications

(33 reference statements)

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“…4-58% of patients had ameliorated migraine with aura and 20-68% migraine without aura. 6-43% of patients had no change in symptoms while 3-8% had worse symptoms ( 65 – 85 ) (see Table 1 ). In the case control studies, PFO closure is also associated with decreased migraine severity ( 32 , 86 – 90 ) (see Table 2 ).…”

Section: The Relationship Between Patent Foramen Ovale and Migrainementioning

confidence: 98%

The Correlation Between Migraine and Patent Foramen Ovale

Liu

Wang

et al. 2020

Front. Neurol.

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Background: Migraine is a widespread neurological disorder. The patent foramen ovale (PFO) is a remnant of the fetal circulation. Multiple studies suggest that migraine is more prevalent in subjects with PFO and vice versa. It is unclear if there is a causal relationship or simply a co-existence of these two conditions. Furthermore, the treatment of migraine with percutaneous closure PFO remains controversial.Methods: We reviewed studies pertaining to the relationship between PFO and migraine as well as the effects of treatments on migraine attacks.Results: We briefly summarized potential pathophysiological mechanisms of migraine, and elaborated on migraine type, frequency, and clinical symptoms of migraine with PFO and the clinical features of PFO with migraine. We also addressed the effects of PFO closure on migraine attacks.Conclusion: The evidence supports a “dose-response” relationship between migraine and PFO although more work needs to be done in terms of patient selection as well as the inclusion of an antiplatelet control group for PFO closure interventions to uncover possible beneficial results in clinical trials.

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Section: The Relationship Between Patent Foramen Ovale and Migrainementioning

confidence: 98%

The Correlation Between Migraine and Patent Foramen Ovale

Liu

Wang

et al. 2020

Front. Neurol.

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“…Abnormal shunts Detection of the right-left-shunt, intracardiac/extracardiac paradoxical embolism [26,[83][84][85] Quantification of right-left shunt [84] Detection of the residual right-left shunt after patent foramen ovale or pulmonary arteriovenous malformation closure [86,87] Detection of the dural fistula [88,89] 5.…”

Section: Headachementioning

confidence: 99%

“…Detection of the residual right-left shunt after patent foramen ovale or pulmonary arteriovenous malformation closure 86 87…”

Section: Introductionmentioning

confidence: 99%

Point-of-Care Ultrasound in Neurology – Report of the EAN SPN/ESNCH/ERcNsono Neuro-POCUS Working Group

et al. 2022

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In the last decade, ultrasound examination in neurology has been undergoing a significant expansion of its modalities. In parallel, there is an increasing demand for rapid and high-quality diagnostics in various acute diseases in the prehospital setting, the emergency room, intensive care unit, and during surgical or interventional procedures. Due to the growing need for rapid answers to clinical questions, there is particular demand for diagnostic ultrasound imaging. The Neuro-POCUS working group, a joint project by the European Academy of Neurology Scientific Panel Neurosonology, the European Society of Neurosonology and Cerebral Hemodynamics, and the European Reference Centers in Neurosonology (EAN SPN/ESNCH/ERcNsono Neuro-POCUS working group), was given the task of creating a concept for point-of-care ultrasound in neurology called “Neuro-POCUS”. We introduce here a new ultrasound examination concept called point-of-care ultrasound in neurology (Neuro-POCUS) designed to streamline conclusive imaging outside of the ultrasound center, directly at the bedside. The aim of this study is to encourage neurologists to add quick and disease-oriented Neuro-POCUS to accompany the patient in the critical phase as an adjunct not a substitution for computed tomography, magnetic resonance imaging, or standard comprehensive neurosonology examination. Another goal is to avoid unwanted complications during imaging-free periods, ultimately resulting in advantages for the patient.

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“…During raised pressure in the right heart (Valsalva maneuver) in diving, squatting, coughing, there is the direct transfer of venous blood from RA to LA through PFO, which leads to the neurological events associated with a paradoxical embolism [ 12 ]. Association has been reported between the size of PFO, the magnitude of the right-to-left shunt, and the presence of atrial septal aneurysm with increased chances of cerebral stroke [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Morphometric study of fossa ovale in human cadaveric hearts: embryological and clinical relevance

Kishve

Motwani

2021

Anat Cell Biol

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Atrial septal defect (ASD) is the 5th common congenital abnormality at birth. Secundum atrial defect and patent foramen ovale (PFO) are the most common atrial septal defects. In this setting, the anatomical functional characterization of the interatrial septum seems to be of paramount importance not only for device selection but also for therapeutic intervention. This study was carried out to evaluate the morphometric parameters of fossa ovale (FOv) in the human adult cadaveric hearts. For this study, 50 normal cadaveric human hearts available in the department of Anatomy over the period of 3 years were used where size, position, shape, nature of the FOv was noted. The size of the fossa was measured and prominence, location, and extent of the limbus fossa ovalis were observed. The probe patency of foramen ovale (FO) was confirmed. In most specimens, the fossa was oval (80%), the average transverse diameter was 24.21 mm, and the vertical diameter 26.84 mm. In 84% rim was raised. In 56% of cases, the fossa was present at the middle of the interatrial septum. The patency of foramen was observed in 3%. The findings of the present study provide pertinent information on the morphology of the FOv, which may be useful for device selection in treating ASDs and PFO. This would definitely help the clinicians in a deeper understanding of the region as very few cadaveric studies are available in the literature at present.

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Transcatheter Closure of Patent Foramen Ovale: A Single Center Experience

Cited by 4 publications

References 35 publications

The Correlation Between Migraine and Patent Foramen Ovale

The Correlation Between Migraine and Patent Foramen Ovale

Point-of-Care Ultrasound in Neurology – Report of the EAN SPN/ESNCH/ERcNsono Neuro-POCUS Working Group

Morphometric study of fossa ovale in human cadaveric hearts: embryological and clinical relevance

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