[en] Percutaneous patent foramen ovale (PFO) closure by traditional, double disc occluder devices was shown to be safe for patients with PFO, and more effective than prolonged medical therapy in preventing recurrent thromboembolic events. The novel suture-mediated "deviceless" PFO closure system overcomes most of the risks and limitations associated with the traditional PFO occluders, appearing to be feasible in most interatrial septum anatomies, even if data about its long-term effectiveness and safety are still lacking. The aim of the present review was to provide to the reader the state of the art about the traditional and newer techniques of PFO closure, focusing both on the procedural aspects and on the pivotal role of transesophageal echocardiography (TEE) in patient's selection, peri-procedural guidance, and post-interventional follow-up.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Sperlongano, Simona ; Division of Cardiology, Department of Traslational Medical Sciences, University
Giordano, Mario ; Division of Pediatric Cardiology, University of Campania Luigi Vanvitelli
Ciccarelli, Giovanni ; Vanvitelli Cardiology Unit, Monaldi Hospital, 80131 Naples, Italy.
Bassi, Giuseppe; Division of Cardiology, Department of Traslational Medical Sciences, University
Malvezzi Caracciolo D'Aquino, Marco ; Vanvitelli Cardiology Unit, Monaldi Hospital, 80131 Naples, Italy.
Del Giudice, Carmen; Division of Cardiology, Department of Traslational Medical Sciences, University
Gaio, Gianpiero; Division of Pediatric Cardiology, University of Campania Luigi Vanvitelli,
D'Andrea, Antonello ; Department of Cardiology and Intensive Coronary Care, Umberto I Hospital, 84014
Postolache, Adriana ; Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie ; Gruppo Villa Maria Care and Research, Maria Cecilia Hospital, 48033 Cotignola, ; Department of Cardiac Surgery, Anthea Hospital, 70124 Bari, Italy.
Scognamiglio, Giancarlo; Unit of Adult Congenital Heart Disease, Monaldi Hospital, 80131 Naples, Italy.
Sarubbi, Berardo ; Unit of Adult Congenital Heart Disease, Monaldi Hospital, 80131 Naples, Italy.
Russo, Maria Giovanna; Vanvitelli Cardiology Unit, Monaldi Hospital, 80131 Naples, Italy.
Golino, Paolo; Division of Cardiology, Department of Traslational Medical Sciences, University ; Division of Pediatric Cardiology, University of Campania Luigi Vanvitelli,
Lancellotti, Patrizio ; Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie ; Gruppo Villa Maria Care and Research, Maria Cecilia Hospital, 48033 Cotignola, ; Department of Cardiac Surgery, Anthea Hospital, 70124 Bari, Italy.
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