The detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovale
BackgroundThe closure of a patent foramen ovale (PFO) using transseptal puncture has particular advantages and disadvantages. Thus, transseptal puncture should be re-evaluated in detail.AimsWe aimed to assess the effectiveness of the detailed transseptal puncture technique in patients who underwent...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-11-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1453459/full |
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| author | Erdogan Ilkay Erdogan Ilkay Ersin Sariçam Ersin Sariçam Fehmi Kaçmaz Aysel Yakici Aysel Yakici Çiğdem Koca Çiğdem Koca Özcan Özeke Melike Polat Murat Can Güney Murat Can Güney Bilge Duran Karaduman Mehmet Akif Erdöl Mehmet Zulkuf Onal Mehmet Zulkuf Onal |
| author_facet | Erdogan Ilkay Erdogan Ilkay Ersin Sariçam Ersin Sariçam Fehmi Kaçmaz Aysel Yakici Aysel Yakici Çiğdem Koca Çiğdem Koca Özcan Özeke Melike Polat Murat Can Güney Murat Can Güney Bilge Duran Karaduman Mehmet Akif Erdöl Mehmet Zulkuf Onal Mehmet Zulkuf Onal |
| author_sort | Erdogan Ilkay |
| collection | DOAJ |
| description | BackgroundThe closure of a patent foramen ovale (PFO) using transseptal puncture has particular advantages and disadvantages. Thus, transseptal puncture should be re-evaluated in detail.AimsWe aimed to assess the effectiveness of the detailed transseptal puncture technique in patients who underwent PFO closure due to cryptogenic stroke or transient ischemic attack in terms of residual shunts and atrial fibrillation.MethodsWe prospectively analyzed 144 consecutive patients who underwent PFO closure by the detailed transseptal puncture technique between February 2013 and April 2023 in two centers. All of the patients had a >10 mm long-tunnel PFO.ResultsThe procedural success rate was 100%. However, after the procedure, moderate pericardial effusion developed in one patient (0.7%) and an acute pulmonary embolism related to femoral vein thrombosis was observed in one patient (0.7%) during the first month. Complications related to the procedure were noted in two patients (1.4%) during the first month of follow-up. Residual shunts were observed in 1.4% of cases after PFO closure.ConclusionWe demonstrated that the detailed transseptal technique is safe and effective for PFO closure. The detailed transseptal PFO closure technique significantly reduced the risk of atrial fibrillation, and the occurrence of residual shunts was significantly low following the closure. |
| format | Article |
| id | doaj-art-a3f363c4c3754e4a92cc205c8d0fd836 |
| institution | Kabale University |
| issn | 2297-055X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-a3f363c4c3754e4a92cc205c8d0fd8362024-11-29T07:09:05ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-11-011110.3389/fcvm.2024.14534591453459The detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovaleErdogan Ilkay0Erdogan Ilkay1Ersin Sariçam2Ersin Sariçam3Fehmi Kaçmaz4Aysel Yakici5Aysel Yakici6Çiğdem Koca7Çiğdem Koca8Özcan Özeke9Melike Polat10Murat Can Güney11Murat Can Güney12Bilge Duran Karaduman13Mehmet Akif Erdöl14Mehmet Zulkuf Onal15Mehmet Zulkuf Onal16Cardiology Clinic, Liv Hospital, Ankara, TürkiyeMedicana Ankara Hospital, Ankara, TürkiyeCardiology Clinic, Medicana Ankara Hospital, Ankara, TürkiyeSchool of Medicine, Atilim University, Ankara, TürkiyeCardiology Clinic, School of Medicine, Üsküdar University, Istanbul, TürkiyeCardiology Clinic, Liv Hospital, Ankara, TürkiyeIstanbul Haseki Educational Hospital, Istanbul, TürkiyeCardiology Clinic, Liv Hospital, Ankara, TürkiyeSchool of Medicine, Yeditepe University, Istanbul, TürkiyeCardiology Clinic, Saglik Bilimleri University, Ankara, TürkiyeCardiology Clinic, Medicana Ankara Hospital, Ankara, TürkiyeCardiology Clinic, Medicana Ankara Hospital, Ankara, TürkiyeSchool of Medicine, Atilim University, Ankara, TürkiyeCardiology Clinic, Saglik Bilimleri University, Ankara, TürkiyeCardiology Clinic, Saglik Bilimleri University, Ankara, TürkiyeSchool of Medicine, Atilim University, Ankara, TürkiyeNeurology Clinic, Medicana Ankara Hospital, Ankara, TürkiyeBackgroundThe closure of a patent foramen ovale (PFO) using transseptal puncture has particular advantages and disadvantages. Thus, transseptal puncture should be re-evaluated in detail.AimsWe aimed to assess the effectiveness of the detailed transseptal puncture technique in patients who underwent PFO closure due to cryptogenic stroke or transient ischemic attack in terms of residual shunts and atrial fibrillation.MethodsWe prospectively analyzed 144 consecutive patients who underwent PFO closure by the detailed transseptal puncture technique between February 2013 and April 2023 in two centers. All of the patients had a >10 mm long-tunnel PFO.ResultsThe procedural success rate was 100%. However, after the procedure, moderate pericardial effusion developed in one patient (0.7%) and an acute pulmonary embolism related to femoral vein thrombosis was observed in one patient (0.7%) during the first month. Complications related to the procedure were noted in two patients (1.4%) during the first month of follow-up. Residual shunts were observed in 1.4% of cases after PFO closure.ConclusionWe demonstrated that the detailed transseptal technique is safe and effective for PFO closure. The detailed transseptal PFO closure technique significantly reduced the risk of atrial fibrillation, and the occurrence of residual shunts was significantly low following the closure.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1453459/fullpatent foramen ovaletransseptal punctureresidual shuntstransseptal accessoptimal closure schedule |
| spellingShingle | Erdogan Ilkay Erdogan Ilkay Ersin Sariçam Ersin Sariçam Fehmi Kaçmaz Aysel Yakici Aysel Yakici Çiğdem Koca Çiğdem Koca Özcan Özeke Melike Polat Murat Can Güney Murat Can Güney Bilge Duran Karaduman Mehmet Akif Erdöl Mehmet Zulkuf Onal Mehmet Zulkuf Onal The detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovale Frontiers in Cardiovascular Medicine patent foramen ovale transseptal puncture residual shunts transseptal access optimal closure schedule |
| title | The detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovale |
| title_full | The detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovale |
| title_fullStr | The detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovale |
| title_full_unstemmed | The detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovale |
| title_short | The detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovale |
| title_sort | detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovale |
| topic | patent foramen ovale transseptal puncture residual shunts transseptal access optimal closure schedule |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1453459/full |
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