Very long-term follow-up after percutaneous closure of patent foramen ovale.

Détails

ID Serval
serval:BIB_F3D4BCE22183
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Very long-term follow-up after percutaneous closure of patent foramen ovale.
Périodique
Eurointervention : Journal of Europcr In Collaboration With the Working Group On Interventional Cardiology of the European Society of Cardiology
Auteur(s)
Eeckhout E., Martin S., Delabays A., Michel P., Girod G.
ISSN
1969-6213 (Electronic)
ISSN-L
1774-024X
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
10
Numéro
12
Pages
1474-1479
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
AIMS: To evaluate the very long-term risk of recurrent thromboembolic events in patients treated by percutaneous PFO closure.
METHODS AND RESULTS: Between 1998 and 2008, a total of 232 consecutive patients with PFO and a high suspicion of paradoxical embolism were treated by percutaneous closure. The following major events were observed during hospitalisation: implantation failure (one patient) and appearance of an acute left-sided device thrombus requiring surgery (one patient). The primary endpoint of the study was a recurrent embolic event beyond at least five years' follow-up. During a mean follow-up of 7.6±2.4 years, this event occurred in five patients, representing a 0.28% annual/patient risk. Other major complications during follow-up were the following: late thrombus formation on the device (two patients) and transient atrial fibrillation (15 patients). Three patients died during follow-up from cardiovascular causes considered not related to the index procedure. The PFO was judged closed on follow-up echocardiography in 92.3% of patients.
CONCLUSIONS: Long-term follow-up following percutaneous PFO closure for presumed paradoxical embolism reveals very low recurrence rates. This observation should be put in perspective with recent published randomised trials comparing percutaneous closure and medical therapy.
Pubmed
Web of science
Création de la notice
12/08/2014 14:51
Dernière modification de la notice
03/03/2018 22:43
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