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Review
. 2024 Nov;42(4):537-545.
doi: 10.1016/j.ccl.2024.02.001. Epub 2024 Mar 13.

Practical Aspects of Patent Foramen Ovale Closure: Ultrasound and Fluoroscopic Guidance

Kerstin Piayda  1 , Stefan Bertog  2 , Mackenzie Mbai  3 , Alok Sharma  3 , Verena Veulemans  4 , Horst Sievert  5
Affiliations
Review

Practical Aspects of Patent Foramen Ovale Closure: Ultrasound and Fluoroscopic Guidance

Kerstin Piayda et al. Cardiol Clin. 2024 Nov.

Abstract

Percutaneous PFO closure is a well-established medical procedure to mitigate paradoxic embolism and the future risk of stroke in a well-selected patient clientele. When it comes to procedural guidance during PFO closure, various modalities exist, each with its own advantages and disadvantages. Guidance by transesophageal echocardiography (in combination with fluoroscopy) offers high-resolution 2D/3D imaging, however, it requires the presence of a peri-interventional imager and conscious sedation (or endotracheal intubation). Intracardiac echocardiography and fluoroscopy guidance can be performed by a single operator and omits the need for conscious sedation (or endotracheal intubation).

Keywords: Angiographic guidance; Fluoroscopic guidance; ICE; PFO closure; Periprocedural management; TEE.

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Conflict of interest statement

Disclosure H. Sievert has received study honoraria to institution, travel expenses and consulting fees from 4tech Cardio, Abbott, Ablative Solutions, Adona Medical, Akura Medical, Ancora Heart, Append Medical, Axon, Bavaria Medizin Technologie GmbH, Bioventrix, Boston Scientific, Cardiac Dimensions, Cardiac Success, Cardimed, Cardionovum, Celonova, Contego, Coramaze, Croivalve, CSL Behring LLC, CVRx, Dinova, Edwards, Endobar, Endologix, Endomatic, Esperion Therapeutics, Inc, Hangzhou Nuomao Medtech, Holistick Medical, Intershunt, Intervene, K2, Laminar, Lifetech, Magenta, Maquet Getinge Group, Metavention, Mitralix, Mokita, Neurotronic, NXT Biomedical, Occlutech, Recor, Renal Guard, Shifamed, Terumo, Trisol, Vascular Dynamics, Vectorious Medtech, Venus, Venock, Vivasure Medical, Vvital Biomed, and Whiteswell.

MeSH terms