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A PFO closure is only utilized if a patient has experienced a stroke, and other causes of stroke and blood clots have been ruled out. A patient with a PFO without a history of stroke would not require a PFO closure and may continue to live a healthy life with this incidental finding.
Expect tenderness or a small bump (size of a quarter) at the procedure site. Bruising is also common at the procedure site. Possible sensations in the chest: palpitations, chest discomfort, or pressure. This is very common about 2 weeks to 6 weeks post closure; usually treatment is NOT required.
Conclusions: The data collected in this study demonstrate that percutaneous PFO closure is a safe and effective procedure, showing long-term prevention of recurrent cerebrovascular events, significant reduction in migraine symptoms and substantial improvement in quality of life.
During the procedure, an interventional cardiologist: Makes a tiny incision in your groin and inserts a catheter into a blood vessel. Uses ultrasound imaging to get a closer view of the PFO. May guide a deflated balloon through the catheter and move it to the PFO.
A healthcare provider may recommend a PFO closure procedure if: You've had a transient ischemic attack (TIA) more than once. You've had cryptogenic (from an unknown cause) strokes more than once. You have a low level of oxygen in your blood.
People who had a PFO closure had a risk of stroke at least 45% lower than people who took the medicine but didn't have a procedure.
Treatment most often requires a procedure called cardiac catheterization, which is performed by a trained cardiologist to permanently seal the PFO.
By closing the defects, the workload on the heart is decreased, reducing the risk of developing heart failure over time. Patients who undergo PFO & ASD closure often experience improved energy levels, reduced fatigue, and an overall enhanced quality of life.
During transcatheter repair, a healthcare provider inserts a device that can plug up the PFO. This device attaches to the end of a long, flexible tube called a catheter. The healthcare provider inserts the catheter through a blood vessel in the groin and guides it to the PFO.
If you were born with a hole in your heart that never closed, known as a patent foramen ovale (PFO), you may need a procedure to correct it. Penn Medicine cardiologists use interventional techniques to close a patent foramen ovale without opening your chest for surgery.