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Condition: Patent Foramen Ovale
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Total 1415 results found since Jan 2013.
NobleStitch PFO Closure for Recurrent Strokes in a Patient on ECMO with COVID-19
Severe hypoxemia secondary to SARS-COV-2 (COVID-19) pneumonia is a significant contributor to morbidity and mortality.1 Patent foramen ovales (PFOs) can exacerbate hypoxemia through an intracardiac shunt, slowing recovery and worsening outcomes.2-4 Cryptogenic stroke is a complication commonly associated with PFOs; however, current guidelines do not address PFO management in COVID-19 patients who experience recurrent paradoxical emboli, especially in the setting of COVID-19 pneumonia, increased right-sided pressures, and a hypercoagulable state.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 18, 2022 Category: Anesthesiology Authors: Perry A. Stout, Nika Samadzadeh Tabrizi, Matt Tribble, Tanya Richvalsky, Cindy Youn, Brion Winston, Alexander D. Shapeton, Sridhar R. Musuku Tags: Case Report Source Type: research
NobleStitch Patent Foramen Ovales Closure for Recurrent Strokes in a Patient with COVID-19 on Extracorporeal Membrane Oxygenation
SEVERE HYPOXEMIA, secondary to the SARS-COV-2 (COVID-19) pneumonia, is a significant contributor to morbidity and mortality.1 Patent foramen ovales (PFOs) can exacerbate hypoxemia through an intracardiac shunt, slowing recovery and worsening outcomes.2-4 Cryptogenic stroke is a complication commonly associated with PFOs; however, current guidelines do not address PFO management in COVID-19 patients who experience recurrent paradoxical emboli, especially in the setting of COVID-19 pneumonia, increased right-sided pressures, and a hypercoagulable state.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 18, 2022 Category: Anesthesiology Authors: Perry A. Stout, Nika Samadzadeh Tabrizi, Matt Tribble, Tanya Richvalsky, Cindy Youn, Brion Winston MD, Alexander D. Shapeton, Sridhar R. Musuku Tags: Case Report Source Type: research
Transcranial Doppler ultrasound: Clinical applications from neurological to cardiological setting
J Clin Ultrasound. 2022 Oct;50(8):1212-1223. doi: 10.1002/jcu.23344.ABSTRACTTranscranial Doppler (TCD) ultrasonography is a rapid, noninvasive, real-time, and low-cost imaging technique. It is performed with a low-frequency (2 MHz) probe in order to evaluate the cerebral blood flow (CBF) and its pathological alterations, through specific acoustic windows. In the recent years, TCD use has been expanded across many clinical settings. Actually, the most widespread indication for TCD exam is represented by the diagnosis of paradoxical embolism, due to patent foramen ovale, in young patients with cryptogenic stroke. In addition...
Source: Atherosclerosis - October 11, 2022 Category: Cardiology Authors: Antonello D'Andrea Dario Fabiani Luigi Cante Adriano Caputo Francesco Sabatella Lucia Riegler Gabriele Alfano Vincenzo Russo Source Type: research
Association of Atrial Septal Aneurysm and Shunt Size With Stroke Recurrence
This individual patient data meta-analysis evaluates the association of patent foramen ovale closure on stroke recurrence according to shunt size and/or the presence of an atrial septal aneurysm.
Source: JAMA Neurology - October 10, 2022 Category: Neurology Source Type: research
Broadening Our SCOPE of Understanding Patent Foramen Ovale High-risk Features and Stroke
Paradoxical embolization of a blood clot of presumed venous origin through a patent foramen ovale (PFO) is increasingly recognized as a legitimate cause of otherwise cryptogenic ischemic stroke (CIS). The term PFO-associated stroke has been proposed, as has where and how to classify this entity in the nomenclature of various ischemic stroke subtyping systems. PFOs are common, with prevalence as high as 25% in the general population. The prevalence of PFO is further increased in patients with CIS (overall 2.9 times higher), and especially so in the subset of younger patients (<55 years, 5.1 times higher). One estimate of...
Source: JAMA Neurology - October 10, 2022 Category: Neurology Source Type: research
Ischemic stroke in young patients in Medell ín, Colombia
CONCLUSIONS: The high frequency of traditional risk factors in young patients highlights the need to optimize primary and secondary prevention plans. This study provides new insights about the relevance of illicit substance abuse in Colombia as a cause of stroke in young patients, unlike the previous one conducted in Bogotá. Infectious causes were other peculiarities found. It is necessary to investigate the reasons for the high proportion of undetermined causes.PMID:36138366 | DOI:10.1186/s12883-022-02895-9
Source: Atherosclerosis - September 22, 2022 Category: Cardiology Authors: Juan Diego Vargas-Murcia Sandra Patricia Isaza-Jaramillo Dionis Magnary Vallejo-Mesa Daniela Carvajal-Mu ñoz Source Type: research
Real world long-term outcomes among adults undergoing transcatheter patent foramen closure with amplatzer PFO occluder
Patent foramen ovale (PFO) is a congenital heart defect associated with an increased risk of cryptogenic stroke. We aimed to evaluate real-world outcomes of adult patients undergoing transcatheter PFO closure with the Amplatzer PFO Occluder.
Source: International Journal of Cardiology - September 19, 2022 Category: Cardiology Authors: Lusine Abrahamyan, Madeleine Barker, Christoffer Dharma, Douglas S. Lee, Peter C. Austin, Areeba Asghar, Annamalar Muthuppalaniappan, Lee Benson, Mark Osten, Eric M. Horlick Source Type: research
Stroke in sickle cell disease and the promise of recent disease modifying agents
Sickle cell disease (SCD) is an inherited hemoglobinopathy affecting approximately 100,000 individuals in the United States. Cerebrovascular disease is among the most common and debilitating complications of SCA, with 53% experiencing silent cerebral infarct by age 30 and 3.8% experiencing overt stroke by age 40 years. This review highlights the burden of cerebrovascular disease in SCD, including both stroke and silent cerebral infarct (SCI). We then discuss the pathophysiology of stroke and cerebral fat embolism in the absence of a patent foramen ovale.
Source: Journal of the Neurological Sciences - September 8, 2022 Category: Neurology Authors: Ava Runge, Danielle Brazel, Zahra Pakbaz Tags: Review Article Source Type: research
Abbott Announces European Launch of Amplatzer ™ Talisman™ System to Close Hole in Heart for People at Risk of Recurrent Stroke
- Abbott's Talisman system seals an opening in the heart known as a "patent foramen ovale" (PFO) to prevent blood clots from passing from the right to the left side of the heart and on to the brain, where they can cause a stroke
Source: Abbott.com - September 7, 2022 Category: Pharmaceuticals Source Type: news
Diagnostic Value of Micro-Bubble Transcranial Doppler Combined with Contrast Transthoracic Echocardiography in Cryptogenic Stroke Patients with Patent Foramen Ovale
Conclusion: The combination of MB-TCD and cTTE can improve the sensitivity and specificity of PFO diagnosis in cryptogenic stroke patients. MB-TCD medium also had high sensitivity and specificity.
Source: Neurology India - August 30, 2022 Category: Neurology Authors: Jianping Lu Jinguo Li Huapin Huang Qinyong Ye Source Type: research
Point of care ultrasound detection of thrombus straddling a patent foramen ovale in a patient with acute chest syndrome
We report a case of a young woman with sickle cell disease who was hospitalized for vaso-occlusive crisis and subsequently developed worsening acute chest syndrome and stroke, discovered on point of care ultrasound to have right heart failure and a thrombus straddling a patent foramen oval. POCUS is highly specific for the detection of right heart dilation/dysfunction and should be a routine component of the assessment of acutely decompensating patients.PMID:36017251 | PMC:PMC9396226 | DOI:10.1016/j.rmcr.2022.101724
Source: Respiratory Care - August 26, 2022 Category: Respiratory Medicine Authors: Matthew Gorgone Enrico M Novelli Simmi Patel Phillip E Lamberty Laura M De Castro Mark T Gladwin Stephanie I Maximous Source Type: research
Adjunct Methods for the Detection of Patent Foramen Ovale: The Contribution of Transcranial Doppler and the Valsalva Manoeuvre
A patent foramen ovale (PFO) is present in 25% of the population. In some patients, especially those without traditional stroke risk factors and with no immediately apparent cause, a cryptogenic stroke may be caused by an embolus passing through the PFO to the systemic circulation. The identification, or indeed exclusion, of a PFO is sought in these patients, most commonly using contrast-enhanced transthoracic or transoesophageal echocardiography. Another method for detecting a PFO is transcranial Doppler, which allows the detection of PFO possibly without the need for an echo laboratory, and with arguably improved sensitivity.
Source: Heart, Lung and Circulation - August 26, 2022 Category: Cardiology Authors: Andrew M. Fordyce, Gillian A. Whalley, Sean Coffey, Luke C. Wilson Tags: Review Source Type: research
Reply to ‘patent foramen ovale device closure for patients with stroke and high-risk PFO morphology’
Source: Heart and Vessels - August 23, 2022 Category: Cardiology Source Type: research
