Advances in Percutaneous Patent Foramen Ovale Closure: From the Procedure to the Echocardiographic Guidance

被引:18
作者
Sperlongano, Simona [1 ]
Giordano, Mario [2 ]
Ciccarelli, Giovanni [3 ]
Bassi, Giuseppe [1 ]
D'Aquino, Marco Malvezzi Caracciolo [3 ]
Del Giudice, Carmen [1 ]
Gaio, Gianpiero [2 ]
D'Andrea, Antonello [4 ]
Postolache, Adriana [5 ,6 ,7 ]
Bigazzi, Maurizio Cappelli [3 ]
Scognamiglio, Giancarlo [8 ]
Sarubbi, Berardo [8 ]
Russo, Maria Giovanna [3 ]
Golino, Paolo [1 ,2 ]
Lancellotti, Patrizio [5 ,6 ,7 ]
机构
[1] Univ Campania Luigi Vanvitelli, Dept Traslat Med Sci, Div Cardiol, I-80131 Naples, Italy
[2] Univ Campania Luigi Vanvitelli, Monaldi Hosp, Div Pediat Cardiol, I-80131 Naples, Italy
[3] Monaldi Hosp, Vanvitelli Cardiol Unit, I-80131 Naples, Italy
[4] Umberto I Hosp, Dept Cardiol & Intens Coronary Care, I-84014 Nocera Inferiore, Italy
[5] CHU Sart Tilman, Dept Cardiol, GIGA Cardiovasc Sci, B-4000 Liege, Belgium
[6] Maria Cecilia Hosp, Grp Villa Maria Care & Res, I-48033 Cotignola, Italy
[7] Anthea Hosp, Dept Cardiac Surg, I-70124 Bari, Italy
[8] Monaldi Hosp, Unit Adult Congenital Heart Dis, I-80131 Naples, Italy
关键词
patent foramen ovale (PFO); transesophageal echocardiography (TEE); intracardiac echocardiography (ICE); Amplatzer PFO Occluder; Gore Cardioform Septal Occluder; NobleStitch; ATRIAL SEPTAL ANEURYSM; TRANSIENT ISCHEMIC ATTACK; TRANSCATHETER CLOSURE; DEVICE CLOSURE; CRYPTOGENIC STROKE; MEDICAL THERAPY; RESIDUAL SHUNT; INTRACARDIAC ECHOCARDIOGRAPHY; EUSTACHIAN VALVE; DEFECT CLOSURE;
D O I
10.3390/jcm11144001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Percutaneous patent foramen ovale (PFO) closure by traditional, double disc occluder devices was shown to be safe for patients with PFO, and more effective than prolonged medical therapy in preventing recurrent thromboembolic events. The novel suture-mediated "deviceless" PFO closure system overcomes most of the risks and limitations associated with the traditional PFO occluders, appearing to be feasible in most interatrial septum anatomies, even if data about its long-term effectiveness and safety are still lacking. The aim of the present review was to provide to the reader the state of the art about the traditional and newer techniques of PFO closure, focusing both on the procedural aspects and on the pivotal role of transesophageal echocardiography (TEE) in patient's selection, peri-procedural guidance, and post-interventional follow-up.
引用
收藏
页数:17
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