Management of residual shunts after initial percutaneous patent foramen ovale closure: A single center experience with immediate and long‐term follow‐up

Diaz, Tulio; Cubeddu, Roberto J.; Rengifo‐Moreno, Pablo; Cruz-González, Ignacio; Solis-Martin, Jorge; Buonanno, Ferdinando S.; Inglessis, Ignacio; Palacios, Igor F.

doi:10.1002/ccd.22475

Cited by 40 publications

(24 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Percutaneous PFO closure has a success rates near 100% (1) eliminating completely the right‐to‐left shunt in 90% of patients . However, the presence of moderate‐severe residual shunts has been described in 2–10% and related to an inadequate design of the device, multiple septal fenestration, or interatrial septal aneurysm . In our series, significant residual shunt following initial PFO closure procedure was observed in 0.9% of all patients.…”

Section: Discussionmentioning

confidence: 61%

Residual shunting after percutaneous PFO closure: How to manage and how to close

Butera

Sarabia

Saracino

et al. 2013

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 61%

Residual shunting after percutaneous PFO closure: How to manage and how to close

Butera

Sarabia

Saracino

et al. 2013

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…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]. In patients complicated with ASA, ASD devices probably have structural advantages for stable deployment compared to PFO devices in this morphological situation or procedures.…”

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

View full text Add to dashboard Cite

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.

show abstract

“…Residual shunts are common immediately following implantation, but infrequent (5-10%) after 12 months. (35,55,56) more recent trends Three-dimensional echocardiography may provide improved assistance during assessment, implantation and follow-up of device closure of defects ( Figure 6). New devices are being developed specifically for PFO closure -these are less rigid and bulky and should lead to improvement in closure rates with a reduction in complications.…”

Section: Methodsmentioning

confidence: 99%

Percutaneous closure of the patent foramen ovale: A cardiological perspective

Brown

2017

SAHJ

View full text Add to dashboard Cite

Management of residual shunts after initial percutaneous patent foramen ovale closure: A single center experience with immediate and long‐term follow‐up

Abstract: Our study suggests that in patients with moderate-to-large residual PFO shunts, percutaneous reintervention using a second device implant is safe and effective.

Cited by 40 publications

References 25 publications

Residual shunting after percutaneous PFO closure: How to manage and how to close

Residual shunting after percutaneous PFO closure: How to manage and how to close

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

Percutaneous closure of the patent foramen ovale: A cardiological perspective

Contact Info

Product

Resources

About