European Position Paper Patent Foramen Ovale In Orange
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FAQ
Most PFOs don't need to be closed. Most PFOs cause no symptoms or complications. Larger PFOs may cause stroke. People with symptomatic or large PFOs may benefit from a procedure to close the hole.
You are advised not to drive or fly for 24 hours after your procedure. Please arrange for someone to drive you home if travelling by car, or to accompany you if you are travelling by taxi or Uber. Please note that some airlines place restrictions on patients flying after certain procedures.
How to manage patent foramen ovale Eating a healthy diet. Getting enough exercise and avoiding obesity. Taking medicines for high blood pressure or high cholesterol, as needed. Not smoking. Getting treatment for other health conditions that increase the risk for stroke. Avoiding excess alcohol use or illicit drugs.
You may be able to travel safely but check with your GP or heart specialist before you book a flight. If you have severe symptoms of heart valve disease, you may not be allowed to fly. Your doctor will have to assess your condition and give you the OK.
It is recommended that patients with PH should only fly in a stable and compensated condition, and should use supplemental oxygen during the flight to minimize hypoxic vasoconstriction.
The RoPE score ranges from 0 to 10, with scores of 0 to 3 indicating a negligible likelihood that the stroke is attributable to the PFO and a score of 10 indicating an approximately 90% probability that the stroke is attributable to the PFO.
Air travel is not only a risk for DVT secondarily to prolonged immobility during which blood pools in the legs (the so-called economy class syndrome3) but in a patient with PFO also because of altitude exposure. Even in well-pressurized planes, oxygen levels correspond to altitude levels of up to 8,000 feet.
For small PFOs without associated interatrial septal aneurysm, the 25-mm size Cribriform, PFO occluder, or Helex is preferred. Using devices smaller than 25 mm in adults is not required and may increase the risk for device embolization.
Air travel is not only a risk for DVT secondarily to prolonged immobility during which blood pools in the legs (the so-called economy class syndrome3) but in a patient with PFO also because of altitude exposure. Even in well-pressurized planes, oxygen levels correspond to altitude levels of up to 8,000 feet.
The PFO closure success rate was 53.4% (62/116) and 78.3% (101/129) for PFO grades 2 and 3, respectively (Supplementary Table S1).
