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- W2320699080 abstract "Aim: To assess the indications, results and outcomes of percutaneous device closure in PFO. Method: This observational study assessed patients who underwent percutaneous PFO closure at the GCH from Jun 2006 to Jan 2011. Study subjects were monitored for end points (a) peri-procedural complications, (b) recurrence of embolic events, (c) monitor migraine symptoms. Results: A total of 44 interventions to close PFO/ASD was conducted and succeeded in 42 cases (96%). The cohort had a male predominance of 55%. The indications included stroke – 40 patients (91%); migraine – one patient; renal infarct – one patient; platydeoxia – one patient; myocardial infarction from suspected paradoxical emboli – one case. Trans-thoracic echo (TTE) identified the defect in 80%. The defect was identified by Trans-Esophageal echo (TOE) in all patients. Nineteen Premiere PFO and 23 Amplatzer devices were used successfully in 95% of the cases. Of the two unsuccessful cases, one patient had a very small defect and one was abandoned because of technical difficulties. There was TOE evidence of small leak across the device in two patients but over all results were good. No major procedure related complications noted. In the follow up there were no recurrence of embolic events. Of the 14 patients with history of migraine and successful closure, 12 pts has had no further headaches after PFO closure. Conclusion: Stroke in the presence of atrial shunt, was the commonest indication for percutaneous closure. Good results were noted with regards to technical aspects and improvement in symptoms. Our centre's experience supports the use of this procedure for appropriate indications." @default.
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- W2320699080 date "2012-01-01" @default.
- W2320699080 modified "2023-09-27" @default.
- W2320699080 title "An Institutional Experience of Patent Foramen Ovale (PFO) Percutaneous Closure at the Gold Coast Hospital (GCH)" @default.
- W2320699080 doi "https://doi.org/10.1016/j.hlc.2012.05.367" @default.
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