Transcatheter closure of patent foramen ovale (PFO) in patients with paradoxical embolism Periprocedural safety and mid-term follow-up results of three different device occluder systems

Braun, Martin; Gliech, V.; Boscheri, Alessandra; Schoen, Steffen; Gahn, Georg; Reichmann, Heinz; Haass, Markus; Schraeder, Rainer; Strasser, Ruth H.

doi:10.1016/j.ehj.2003.10.021

Cited by 168 publications

(85 citation statements)

References 24 publications

(16 reference statements)

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“…The rate and time points of the re-events are in accord to previously published studies [17][18][19]21]. There is a higher rate of re-events in larger devices as five out of the seven patients received a 35 mm Amplatzer device.…”

Section: Discussionsupporting

confidence: 85%

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Long term follow up after percutaneous closure of PFO in 357 patients with paradoxical embolism: Difference in occlusion systems and influence of atrial septum aneurysm

Bardeleben

Richter

Otto

et al. 2009

International Journal of Cardiology

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Section: Discussionsupporting

confidence: 85%

“…Recent publications concerning device related closure of PFO reported re-event rates below 1% per year which were lower compared to studies with medical treatment [17][18][19]. Reports on the interventional closure of PFO in combination with ASA showed an increased risk for thrombus formation as well as for incomplete closure [19,20].…”

Section: Introductionmentioning

confidence: 96%

Long term follow up after percutaneous closure of PFO in 357 patients with paradoxical embolism: Difference in occlusion systems and influence of atrial septum aneurysm

Bardeleben

Richter

Otto

et al. 2009

International Journal of Cardiology

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“…The small number of patients makes a statistical differentiation, e.g., for different therapeutic arms, difficult. Because of the long follow-up period, the ''modern'' treatment, e.g., percutaneous PFO closure, which with modern technique has been shown as a safe and feasible procedure [21][22][23][24], was chosen in only a few patients. With respect to the long follow-up period, 11% of the patients were lost.…”

Section: Limitationsmentioning

confidence: 99%

Sustained risk of recurrent thromboembolic events in patients with patent foramen ovale and paradoxical embolism: long-term follow-up over more than 15 years

et al. 2011

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In patients with paradoxical embolism, recurrent ischemic events are frequent despite medical therapy. These events are not limited to the early years after the index event; this long-term follow-up revealed a risk of occurrence over the entire follow-up. These patients have a sustained risk of recurrence, requiring lifetime protection, which should be considered in tailoring individual therapeutic strategies.

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“…These cases could be called ''small ASD'' and might be distinguished from classical PFO. Like these ''small ASD'' interatrial communications, there are cases in which an ASO device might be even more suitable than other devices that are designed especially for PFO closure [15,16]. Interestingly, recent data from the United States have also reported Amplatzer ASD devices were commonly used (about 40% of the procedures) even for patients with PFO [17].…”

Section: Discussionmentioning

confidence: 94%

Catheter closure of atrial septal defect in patients with cryptogenic stroke: initial experience in Japan

Kijima

Akagi

Taniguchi

et al. 2011

Cardiovasc Interv and Ther

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A recent study has shown that cryptogenic stroke can occur even in patients with small or insignificant atrial septal defects (ASD). However, clinical experience in this field is still limited in Japan, also the efficacy and safety of catheter closure of such defects have not been identified. To evaluate the efficacy and safety of catheter closure of interatrial communication in patients with cryptogenic stroke, 13 patients who were diagnosed with cerebrovascular events due to cryptogenic embolism were included in this study. Mean age at procedure was 43 ± 15 (range 17-68) years. In all patients, the presence of spontaneous or provoked interatrial right-to-left shunts was demonstrated by transesophageal contrast echocardiography. Mean defect size evaluated by the balloon sizing technique was 9.2 ± 2.8 mm, and mean size of the Amplatzer Septal Occluder deployed was 9.5 ± 2.8 mm. Devices were successfully deployed in all patients, though one device migrated into the descending aorta was retrieved by a snare catheter. Complete closure was detected by transesophageal contrast echocardiography at 12 months after the procedure was in 11 (85%) of the 13 patients. During the follow-up period (30.1 ± 9.4 months), no recurrent thromboembolic event was observed. Catheter closure of interatrial right-to-left communications can be safely performed. This procedure may contribute to reduction or prevention of recurrent neurological events in this patient population.

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Transcatheter closure of patent foramen ovale (PFO) in patients with paradoxical embolism Periprocedural safety and mid-term follow-up results of three different device occluder systems

Abstract: Interventional PFO closure appears to be safe and a promising technique in symptomatic PFO patients with a low incidence of periinterventional complications and recurrent thromboembolic events using three different devices (PFO-Star, Amplatzer PFO occluder or the CardioSeal/Starflex).

Cited by 168 publications

References 24 publications

Long term follow up after percutaneous closure of PFO in 357 patients with paradoxical embolism: Difference in occlusion systems and influence of atrial septum aneurysm

Long term follow up after percutaneous closure of PFO in 357 patients with paradoxical embolism: Difference in occlusion systems and influence of atrial septum aneurysm

Sustained risk of recurrent thromboembolic events in patients with patent foramen ovale and paradoxical embolism: long-term follow-up over more than 15 years

Catheter closure of atrial septal defect in patients with cryptogenic stroke: initial experience in Japan

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