Management of Patients with Patent Foramen Ovale and Cryptogenic Stroke: An Update

被引：34

作者：

Abdelghani, Mohammad ^{[1
,2
,3
]}

El-Shedoudy, Sahar A. O. ^{[4
]}

Nassif, Martina ^{[2
]}

Bouma, Berto J. ^{[2
]}

de Winter, Robbert J. ^{[2
]}

机构：

[1] Segeberger Kliniken, Heart Ctr, Kurpk 1, DE-23795 Bad Segeberg, Germany

[2] Acad Med Ctr, Dept Cardiol, Amsterdam, Netherlands

[3] Al Azhar Univ, Dept Cardiol, Cairo, Egypt

[4] Tanta Univ, Dept Cardiol, Tanta, Egypt

来源：

CARDIOLOGY | 2019年 / 143卷 / 1-2期

关键词：

Patent foramen ovale; Percutaneous closure; Transcatheter closure; Cryptogenic stroke; MEDICAL THERAPY; SEPTAL POUCH; TRANSCATHETER CLOSURE; PERCUTANEOUS CLOSURE; CEREBRAL-ISCHEMIA; RECURRENT STROKE; LEFT ATRIUM; TRANSCRANIAL DOPPLER; ANTIPLATELET THERAPY; ROPE SCORE;

D O I：

10.1159/000501028

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Patent foramen ovale (PFO) is a common benign finding in healthy subjects, but its prevalence is higher in patients with stroke of unclear cause (cryptogenic stroke). PFO is believed to be associated with stroke through paradoxical embolism, and certain clinical and anatomical criteria seem to increase the likelihood of a PFO to be pathological. Recent trials have shown that closure of PFO, especially if associated with an atrial septal aneurysm and/or a large interatrial shunt, may reduce the risk of recurrent stroke as compared to medical treatment. However, it remains challenging to risk stratify patients with suspected PFO-related stroke and to decide if device closure is indicated. We sought to review contemporary evidence and to conclude an evidence-based strategy to prevent recurrence of PFO-related stroke. (c) 2019 S. Karger AG, Basel

引用

收藏

页码：62 / 72

页数：11

相关论文

共 69 条

[51] Three-dimensional imaging of the atrial septum and patent foramen ovale anatomy: defining the morphological phenotypes of patent foramen ovale [J].

Rana, Bushra S. ;

Shapiro, Len M. ;

McCarthy, Karen P. ;

Ho, Siew Yen .

EUROPEAN JOURNAL OF ECHOCARDIOGRAPHY, 2010, 11 (10) :I19-I25

[52] Echocardiographic Evaluation of Patent Foramen Ovale Prior to Device Closure [J].

Rana, Bushra S. ;

Thomas, Martyn R. ;

Calvert, Patrick A. ;

Monaghan, Mark J. ;

Hildick-Smith, David .

JACC-CARDIOVASCULAR IMAGING, 2010, 3 (07) :749-760

[53] Left Atrial Dysfunction in Patients With Patent Foramen Ovale and Atrial Septal Aneurysm An Alternative Concurrent Mechanism for Arterial Embolism? [J].

Rigatelli, Gianluca ;

Aggio, Silvio ;

Cardaioli, Paolo ;

Braggion, Gabriele ;

Giordan, Massimo ;

Dell'avvocata, Fabio ;

Chinaglia, Mauro ;

Rigatelli, Giorgio ;

Roncon, Loris ;

Chen, Jack P. .

JACC-CARDIOVASCULAR INTERVENTIONS, 2009, 2 (07) :655-662

[54] INFARCTS OF UNDETERMINED CAUSE - THE NINCD STROKE DATA-BANK [J].

SACCO, RL ;

ELLENBERG, JH ;

MOHR, JP ;

TATEMICHI, TK ;

HIER, DB ;

PRICE, TR ;

WOLF, PA .

ANNALS OF NEUROLOGY, 1989, 25 (04) :382-390

[55] New Oral Anticoagulants Are Not Superior to Warfarin in Secondary Prevention of Stroke or Transient Ischemic Attacks, but Lower the Risk of Intracranial Bleeding: Insights from a Meta-Analysis and Indirect Treatment Comparisons [J].

Sardar, Partha ;

Chatterjee, Saurav ;

Wu, Wen-Chih ;

Lichstein, Edgar ;

Ghosh, Joydeep ;

Aikat, Shamik ;

Mukherjee, Debabrata .

PLOS ONE, 2013, 8 (10)

[56] Patent Foramen Ovale Closure Versus Medical Therapy for Cryptogenic Ischemic Stroke: A Topical Review [J].

Saver, Jeffrey L. ;

Mattle, Heinrich P. ;

Thaler, David .

STROKE, 2018, 49 (06) :1541-1548

[57] Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke [J].

Saver, Jeffrey L. ;

Carroll, John D. ;

Thaler, David E. ;

Smalling, Richard W. ;

MacDonald, Lee A. ;

Marks, David S. ;

Tirschwell, David L. .

NEW ENGLAND JOURNAL OF MEDICINE, 2017, 377 (11) :1022-1032

[58] Percutaneous closure of patent foramen ovale: impact of device design on safety and efficacy [J].

Schwerzmann, M ;

Windecker, S ;

Wahl, A ;

Mehta, H ;

Nedeltchev, K ;

Mattle, H ;

Seiler, C ;

Meier, B .

HEART, 2004, 90 (02) :186-190

[59] Recurrent Stroke and Massive Right-to-Left Shunt Results From the Prospective Spanish Multicenter (CODICIA) Study [J].

Serena, Joaquin ;

Marti-Fabregas, Joan ;

Santamarina, Estevo ;

Jesus Rodriguez, Juan ;

Jesus Perez-Ayuso, Maria ;

Masjuan, Jaime ;

Segura, Tomas ;

Gallego, Jaime ;

Davalos, Antonio .

STROKE, 2008, 39 (12) :3131-3136

[60] Device Closure Versus Medical Therapy Alone for Patent Foramen Ovale in Patients With Cryptogenic Stroke A Systematic Review and Meta-analysis [J].

Shah, Rahman ;

Nayyar, Mannu ;

Jovin, Ion S. ;

Rashid, Abdul ;

Bondy, Beatrix R. ;

Fan, Tai-Hwang M. ;

Flaherty, Michael P. ;

Rao, Sunil V. .

ANNALS OF INTERNAL MEDICINE, 2018, 168 (05) :335-+

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