Patent Foramen Ovale In Santa Clara
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FAQ
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.
Alternatively, contrast-enhanced transcranial Doppler (bubble-TCD) is a non-invasive, bedside, repeatable technique with high sensitivity and specificity for PFO detection in younger patients (≤60 years) and controls,13 through identification of right-to-left shunt (RLS).
Because these trials enrolled relatively young (<60 years) patients, the current American Academy of Neurology guidelines recommend PFO closure in stroke patients who are <60 years old 4.
You may be asleep for the procedure, or you may get a sedative to help you relax. Your doctor makes a small cut in your groin. Then the catheter, with tools inside it, is put into your blood vessel and carefully guided to your heart. Your doctor moves the tip of the catheter to place a small device inside the PFO.
Are You a Candidate for PFO Closure? You may be a candidate for minimally invasive PFO closure if you: Have been diagnosed with a PFO and have had a stroke due to an unknown cause (one not attributed to a condition such as atrial fibrillation or carotid artery disease)
If a PFO exists, a little blood can flow between the atria. A robotic-assisted patent foramen ovale repair is a type of minimally invasive surgery. Minimally invasive means that the surgery uses smaller cuts (incisions) than a traditional open heart surgery. Recovery may be easier and faster.
For those patients who need or want to avoid PFO, the panel judged anticoagulation the best alternative, although the evidence regarding stroke reduction was of low certainty. The risk of major bleeding probably increased with anticoagulation.
Healthcare providers don't know what causes the hole to stay open (patent) in some people instead of closing up. Sometimes, PFO occurs along with other heart problems. One such condition is Ebstein anomaly. It's when the valve between the upper and lower chambers on the right side of the heart doesn't close properly.
Having a PFO as an adult or older child is not normal. But it occurs in many people. It may be slightly more common in younger adults compared with older adults.
