Patent foramen ovale (PFO) is associated with cryptogenic stroke in young patients.
In these cases, trans-catheter PFO closure is indicated either with a device implantation
or with a suture-mediated PFO closure system (NobleStitchTM EL, Kardia, Milan, Italy) to prevent further cerebral ischemic events. However, the
presence of a complex anatomy might require advanced technical skills. We herewith
describe the first case of combined use of the NobleStitchTM EL system with an Amplatzer PFO Occluder (Abbott, Plymouth, USA) device to close
a complex PFO characterized by a wide inter-atrial aneurysm, a long stiff tunnel and
a thickened septum secundum.
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References
- Echocardiographic findings in simple and complex patent foramen ovale before and after transcatheter closure.Eur Heart J Cardiovasc Imaging. 2014; 15: 1377-1385
- PFO “angioplasty”: The preparation of a very stiff and long tunnel for device closure.Catheter Cardiovasc Interv. 2017; 89: 480-483
- Use of balloon pull-through technique to assist in CardioSEAL device closure of patent foramen ovale.Catheter Cardiovasc Interv. 2003; 60: 101-106
- Transseptal puncture to facilitate device closure of “long-tunnel” patent foramen ovale.Catheter Cardiovasc Interv. 2015; 85: 1053-1057
- Anatomic Approach to Transseptal Puncture for Structural Heart Interventions.JACC Cardiovasc Interv. 2021; 14: 1509-1522
Article info
Publication history
Accepted:
February 8,
2023
Received in revised form:
February 2,
2023
Received:
January 11,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Inc. on behalf of the Canadian Cardiovascular Society.
