Debate: Closure of patent foramen ovale. The interventional cardiologist perspective

QUESTION: What would you say is the current state of the evidence available on the closure of patent foramen ovale (PFO)? ANSWER: The closure of PFO to prevent embolic events has been a matter of discussion for cardiologists and neurologists in the therapeutic decision-making process for years. The...

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Main Author: Felipe Hernández Hernández
Format: Article
Language:English
Published: Permanyer 2020-02-01
Series:REC: Interventional Cardiology (English Ed.)
Online Access:https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=267
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spelling doaj-18bae708a16742fe88d2097dd4d46ac82021-08-10T09:30:49ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222020-02-0121474810.24875/RECICE.M19000079Debate: Closure of patent foramen ovale. The interventional cardiologist perspectiveFelipe Hernández Hernández0Departamento de Cardiología y Cirugía Cardiaca, Clínica Universidad de Navarra, Madrid, SpainQUESTION: What would you say is the current state of the evidence available on the closure of patent foramen ovale (PFO)? ANSWER: The closure of PFO to prevent embolic events has been a matter of discussion for cardiologists and neurologists in the therapeutic decision-making process for years. The main reason was the lack of randomized clinical trials showing the efficacy (or inefficacy) of performing this percutaneous procedure in certain patients diagnosed with cryptogenic stroke. After the publication of 3 randomized clinical trials in 2017 in one of the highest-impact medical journals and posterior meta-analysis, the results suggest long-term clinical benefits in patients with certain anatomical, echocardiographic, and clinical characteristics who have suffered a stroke (or neurological event of embolic profile) without apparent reason.1https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=267
collection DOAJ
language English
format Article
sources DOAJ
author Felipe Hernández Hernández
spellingShingle Felipe Hernández Hernández
Debate: Closure of patent foramen ovale. The interventional cardiologist perspective
REC: Interventional Cardiology (English Ed.)
author_facet Felipe Hernández Hernández
author_sort Felipe Hernández Hernández
title Debate: Closure of patent foramen ovale. The interventional cardiologist perspective
title_short Debate: Closure of patent foramen ovale. The interventional cardiologist perspective
title_full Debate: Closure of patent foramen ovale. The interventional cardiologist perspective
title_fullStr Debate: Closure of patent foramen ovale. The interventional cardiologist perspective
title_full_unstemmed Debate: Closure of patent foramen ovale. The interventional cardiologist perspective
title_sort debate: closure of patent foramen ovale. the interventional cardiologist perspective
publisher Permanyer
series REC: Interventional Cardiology (English Ed.)
issn 2604-7322
publishDate 2020-02-01
description QUESTION: What would you say is the current state of the evidence available on the closure of patent foramen ovale (PFO)? ANSWER: The closure of PFO to prevent embolic events has been a matter of discussion for cardiologists and neurologists in the therapeutic decision-making process for years. The main reason was the lack of randomized clinical trials showing the efficacy (or inefficacy) of performing this percutaneous procedure in certain patients diagnosed with cryptogenic stroke. After the publication of 3 randomized clinical trials in 2017 in one of the highest-impact medical journals and posterior meta-analysis, the results suggest long-term clinical benefits in patients with certain anatomical, echocardiographic, and clinical characteristics who have suffered a stroke (or neurological event of embolic profile) without apparent reason.1
url https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=267
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