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Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
JoVE Journal
Medicina
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JoVE Journal Medicina
Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
DOI:

10:52 min

December 23, 2022

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Capitoli

  • 00:04Introduction
  • 00:28Physiological Monitoring and Preparation of the Sterile Equipment
  • 01:19Venous Puncture, Catheter Introduction, and Invasive Arterial Pressure Measurement
  • 02:55Introduction of the TEE Probe and Wire Passage Through the PFO
  • 03:44Heparin Application and Measurement of the Left Atrial Pressure (LAP)
  • 04:29Advancing into the Left Atrium, TEE‐Guided Balloon Sizing of the PFO, and Occluder Selection
  • 05:51Introduction of the Device Delivery System
  • 06:51Deployment of the PFO Occluder
  • 08:11Evaluation of the Correct Device Position
  • 08:54Sealing of the Puncture, Applying Pressure Bandage, and Post‐Intervention Care
  • 09:40Results: The Interventional Closure of a Patent Foramen Ovale (PFO)
  • 10:23Conclusion

Summary

Traduzione automatica

The closure of a patent foramen ovale (PFO) is a catheter-based intervention to prevent PFO-associated stroke. The PFO-occlusion device is advanced through the femoral vein and deployed across the interatrial septum using transesophageal echocardiography (TEE) and fluoroscopic guidance. The following protocol provides a step-by-step guide for the PFO-closure intervention using a double-disc device.

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