Updates on Patent Foramen Ovale (PFO) Closure.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Cardiology Reports Pub Date : 2024-07-01 Epub Date: 2024-06-24 DOI:10.1007/s11886-024-02073-y

Konstantinos V Voudris, Marie-France Poulin, Clifford J Kavinsky

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引用次数: 0

Abstract

Purpose of review: Patent foramen ovale (PFO) has been previously linked to left circulation thromboembolism and stroke. This review article aims to discuss the latest evidence, updated societal guidelines, diagnostic algorithms and novel therapeutic devices for PFO closure.

Recent findings: PFO closure for cryptogenic stroke and systemic embolization is supported by a large body of evidence and has a strong societal recommendation. Limited data are available for platypnea-orthodeoxia syndrome, although closure appears to be beneficial. Current data do not support routine closure for migraines and decompression Illness. Development of heart-brain teams can improve identification of patients most likely to benefit from closure, utilizing a combination of imaging test and risk score algorithms. Multiple novel devices aiming at reducing complications and improving the long-term impact of current available devices are being evaluated. PFO closure has significantly progressed over the last years, with new data supporting its superiority in reducing risk of recurrent embolic stroke in patients with PFO-related stroke. Additional clinical data are required to provide further refinements on patient selection and guidance on treatment of specific subgroups.

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闭塞大孔 (PFO) 的最新进展。

审查目的：卵圆孔未闭（PFO）曾与左循环血栓栓塞和中风有关。本综述文章旨在讨论 PFO 关闭术的最新证据、最新社会指南、诊断算法和新型治疗设备：PFO 封闭治疗隐源性卒中和全身性栓塞得到了大量证据的支持，并得到了强烈的社会推荐。尽管闭合PFO似乎有益，但目前针对鸭嘴-缺氧综合征的数据有限。目前的数据不支持偏头痛和减压病的常规闭合治疗。发展心脑小组可以通过综合利用成像测试和风险评分算法，更好地识别最有可能从闭合术中获益的患者。目前正在对多种新型设备进行评估，以减少并发症并提高现有设备的长期效果。PFO 封堵术在过去几年取得了重大进展，新数据支持其在降低 PFO 相关中风患者复发栓塞性中风风险方面的优越性。还需要更多的临床数据来进一步完善患者的选择和特定亚组的治疗指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.