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Article
Current management of patients with patent foramen ovale and cryptogenic stroke: our experience and review of the literature
WMJ : official publication of the State Medical Society of Wisconsin
  • Charles E Bailey
  • Suhail Allaqaband, Aurora Sinai/Aurora St. Luke's Medical Centers, Aurora Health Care
  • Tanvir Bajwa, Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, University of Wisconsin School of Medicine and Public Health
Aurora Affiliations

Aurora Sinai Medical Center, Cardiac Catheterization Laboratory

Publication Date
1-1-2004
Abstract

BACKGROUND: Patent Foramen Ovale (PFO) occurs in approximately 25% of the population and has been implicated in the etiology of cryptogenic stroke. Although the exact mechanism of PFO's role in stroke has not been defined, there is a growing body of evidence that supports both the safety and therapeutic benefit of PFO closure in cryptogenic stroke. Current methods of therapy include anticoagulation, surgical closure, and percutaneous closure.

METHODS: We completed a retrospective analysis of data from the first 20 PFO closures at our institution and evaluated the current literature on PFO treatment.

RESULTS: Percutaneous closure had a 100% technical success rate. There were no procedural complications and only 1 episode of supraventricular arrhythmia requiring therapy.

CONCLUSION: Percutaneous closure is associated with a high technical success rate, decreased morbidity compared to surgery, and equal benefits after endothelialization of the device. As the mechanisms involved in PFO are better delineated, clear guidelines can be established for the percutaneous closure and follow-up of PFO.

Document Type
Article
PubMed ID
15481868
Citation Information
Bailey CE, Allaqaband S, Bajwa TK. Current management of patients with patent foramen ovale and cryptogenic stroke: our experience and review of the literature. WMJ. 2004;103(4):32-6.