The 'dreaded PFO': anatomical and functional features of high risk for stroke

被引：9

作者：

Radico, Francesco ^{[1
,2
]}

Foglietta, Melissa ^{[2
]}

Di Fulvio, Maria ^{[3
]}

Appignani, Marianna ^{[3
]}

Rossi, Serena ^{[4
]}

De Angelis, Maria Vittoria ^{[5
]}

Gallina, Sabina ^{[6
]}

Zimarino, Marco ^{[1
,4
]}

机构：

[1] ASL 2 Abruzzo, Chieti, Italy

[2] Univ G dAnnunzio, Cardiol Dept, Chieti, Italy

[3] SS Annunziata Hosp, Heart Dept, Intens Cardiac Care Unit, Chieti, Italy

[4] ASL 2 Abruzzo, Cath Lab, Chieti, Italy

[5] SS Annunziata Hosp, Dept Neurol, Chieti, Italy

[6] Dept Neurosci Imaging & Clin Sci, Chieti, Italy

来源：

EUROPEAN HEART JOURNAL SUPPLEMENTS | 2021年 / 23卷 / 0E期

关键词：

Patent foramen ovale (PFO); Transcatheter PFO closure; Ischaemic stroke; PATENT FORAMEN OVALE; MEDICAL THERAPY; CLOSURE;

D O I：

10.1093/eurheartj/suab119

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Patent foramen ovale (PFO) has a high prevalence in general population and can be implicated in cryptogenic stroke among young people. Recent trials have shown that transcatheter PFO closure is superior to medical treatment in the secondary prevention of ischaemic stroke. The benefit in the reduction of stroke recurrence is particularly evident in patients who have documentation of a PFO with high-risk characteristics. Therefore, after the assessment of a clear causal relationship with the event, a thoughtful documentation of anatomic (height, length, presence of an aneurysmatic or a floppy atrial septum, a prominent Eustachian valve or Chiari's network, an acute angle with the inferior vena cava) and functional high-risk characteristics is mandatory.

引用

页码：E189 / E193

页数：5

共 13 条

[1] Management of Patients with Patent Foramen Ovale and Cryptogenic Stroke: An Update [J].

Abdelghani, Mohammad ;

El-Shedoudy, Sahar A. O. ;

Nassif, Martina ;

Bouma, Berto J. ;

de Winter, Robbert J. .

CARDIOLOGY, 2019, 143 (1-2) :62-72

[2] Antithrombotic Therapy in Patients Undergoing Transcatheter Interventions for Structural Heart Disease [J].

Calabro, Paolo ;

Gragnano, Felice ;

Niccoli, Giampaolo ;

Marcucci, Rossella ;

Zimarino, Marco ;

Spaccarotella, Carmen ;

Renda, Giulia ;

Patti, Giuseppe ;

Ando, Giuseppe ;

Moscarella, Elisabetta ;

Mancone, Massimo ;

Cesaro, Arturo ;

Giustino, Gennaro ;

De Caterina, Raffaele ;

Mehran, Roxana ;

Capodanno, Davide ;

Valgimigli, Marco ;

Windecker, Stephan ;

Dangas, George D. ;

Indolfi, Ciro ;

Angiolillo, Dominick J. .

CIRCULATION, 2021, 144 (16) :1323-1343

[3] Closure of Patent Foramen Ovale versus Medical Therapy after Cryptogenic Stroke [J].

Carroll, John D. ;

Saver, Jeffrey L. ;

Thaler, David E. ;

Smalling, Richard W. ;

Berry, Scott ;

MacDonald, Lee A. ;

Marks, David S. ;

Tirschwell, David L. .

NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (12) :1092-1100

[4] Closure or Medical Therapy for Cryptogenic Stroke with Patent Foramen Ovale [J].

Furlan, Anthony J. ;

Reisman, Mark ;

Massaro, Joseph ;

Mauri, Laura ;

Adams, Harold ;

Albers, Gregory W. ;

Felberg, Robert ;

Herrmann, Howard ;

Kar, Saibal ;

Landzberg, Michael ;

Raizner, Albert ;

Wechsler, Lawrence .

NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (11) :991-999

[5] Long-term effectiveness and safety of transcatheter closure of patent foramen ovale compared with antithrombotic therapy alone: a meta-analysis of six randomised clinical trials and 3,560 patients with reconstructed time-to-event data [J].

Giacoppo, Daniele ;

Caronna, Nicola ;

Frangieh, Antonio H. ;

Michel, Jonathan ;

Ando, Giuseppe ;

Tarantini, Giuseppe ;

Kasel, Albert M. ;

Capodanno, Davide ;

Byrne, Robert A. .

EUROINTERVENTION, 2018, 14 (08) :857-867

[6] An index to identify stroke-related vs incidental patent foramen ovale in cryptogenic stroke [J].

Kent, David M. ;

Ruthazer, Robin ;

Weimar, Christian ;

Mas, Jean-Louis ;

Serena, Joaquin ;

Homma, Shunichi ;

Di Angelantonio, Emanuele ;

Di Tullio, Marco R. ;

Lutz, Jennifer S. ;

Elkind, Mitchell S. V. ;

Griffith, John ;

Jaigobin, Cheryl ;

Mattle, Heinrich P. ;

Michel, Patrik ;

Mono, Marie-Louise ;

Nedeltchev, Krassen ;

Papetti, Federica ;

Thaler, David E. .

NEUROLOGY, 2013, 81 (07) :619-625

[7] Cryptogenic Stroke and High-Risk Patent Foramen Ovale The DEFENSE-PFO Trial [J].

Lee, Pil Hyung ;

Song, Jae-Kwan ;

Kim, Jong S. ;

Heo, Ran ;

Lee, Sahmin ;

Kim, Dae-Hee ;

Song, Jong-Min ;

Kang, Duk-Hyun ;

Kwon, Sun U. ;

Kang, Dong-Wha ;

Lee, Dongwhane ;

Kwon, Hyuk Sung ;

Yun, Sung-Cheol ;

Sun, Byung Joo ;

Park, Jae-Hyeong ;

Lee, Jae-Hwan ;

Jeong, Hye Seon ;

Song, Hee-Jung ;

Kim, Jei ;

Park, Seung-Jung .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2018, 71 (20) :2335-2342

[8] Patent Foramen Ovale Closure or Anticoagulation vs. Antiplatelets after Stroke [J].

Mas, J. -L. ;

Derumeaux, G. ;

Guillon, B. ;

Massardier, E. ;

Hosseini, H. ;

Mechtouff, L. ;

Arquizan, C. ;

Bejot, Y. ;

Vuillier, F. ;

Detante, O. ;

Guidoux, C. ;

Canaple, S. ;

Vaduva, C. ;

Dequatre-Ponchelle, N. ;

Sibon, I. ;

Garnier, P. ;

Ferrier, A. ;

Timsit, S. ;

Robinet-Borgomano, E. ;

Sablot, D. ;

Lacour, J. -C. ;

Zuber, M. ;

Favrole, P. ;

Pinel, J. -F. ;

Apoil, M. ;

Reiner, P. ;

Lefebvre, C. ;

Guerin, P. ;

Piot, C. ;

Rossi, R. ;

Dubois-Rande, J. -L. ;

Eicher, J. -C. ;

Meneveau, N. ;

Lusson, J. -R. ;

Bertrand, B. ;

Schleich, J. -M. ;

Godart, F. ;

Thambo, J. -B. ;

Leborgne, L. ;

Michel, P. ;

Pierard, L. ;

Turc, G. ;

Barthelet, M. ;

Charles-Nelson, A. ;

Weimar, C. ;

Moulin, T. ;

Juliard, J. -M. ;

Chatellier, G. .

NEW ENGLAND JOURNAL OF MEDICINE, 2017, 377 (11) :1011-1021

[9] Percutaneous Closure of Patent Foramen Ovale in Cryptogenic Embolism [J].

Meier, Bernhard ;

Kalesan, Bindu ;

Mattle, Heinrich P. ;

Khattab, Ahmed A. ;

Hildick-Smith, David ;

Dudek, Dariusz ;

Andersen, Grethe ;

Ibrahim, Reda ;

Schuler, Gerhard ;

Walton, Antony S. ;

Wahl, Andreas ;

Windecker, Stephan ;

Jueni, Peter .

NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (12) :1083-1091

[10] Identification of High-Risk Patent Foramen Ovale Associated With Cryptogenic Stroke: Development of a Scoring System [J].

Nakayama, Rie ;

Takaya, Yoichi ;

Akagi, Teiji ;

Watanabe, Nobuhisa ;

Ikeda, Madoka ;

Nakagawa, Koji ;

Toh, Norihisa ;

Ito, Hiroshi .

JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2019, 32 (07) :811-816

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