Page 12 - Journal of Structural Heart Disease Volume 3, Issue 4

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Original Research Article
Table 1. PFO and ASD closure indications and outcomes (n = 24)
Patient
Closure Indication
Device
Size (mm)
Complications
Residual Shunt (TEE/ TCD/ICE)
Post-Procedure Symptoms
Post- Procedure Follow-Up (months)
1 Stroke
2 Desaturation
3 Desaturation
4 Stroke, Desaturation
5 Stroke
6 Migraine without area, orthodex-
ia-platypnea
7 Migraine without aura
8 Migraine (ocular)
9 Stroke
10 Stroke, migraine with aura, TIA
11 Migraine without aura
12 Migraine with aura
13 Desaturation
14 Stroke
15 Stroke
16 Chest pain
17 Pre-liver transplant
evaluation
18 Stroke
19 Stroke
20 Pre-liver transplant evaluation
21 Pre-liver transplant evaluation
Kar, S. et al.
Cardioseal Amplatzer
Amplatzer
No closure (PHTN, referred for lung transplant evaluation)
Amplatzer Cribiform
Helex Helex
Helex Helex
No closure (patient declines)
Helex
Amplatzer Amplatzer
Helex Cribiform Helex
Helex Amplatzer
Cribiform Helex
28 None 35 None
Unspeci ed None N/A N/A
35 None 35 None
25 None 25 None
25 None 25 None
N/A N/A
25 None
15 None 6 None
25 None 35 None 25 None
25 None 14 None
25 None 25 None
Trace (TEE) No (TEE)
Small (TEE) N/A
Moderate ( TEE)
No (TEE)
No (ICE) No (TEE)
No (TEE) No (TEE)
N/A
No (TEE)
No (ICE) No (TEE)
Yes (ICE) No (ICE) No (TEE)
No (ICE) No (TEE)
No (TEE) No (TEE)
None 2
None (died, non- 89 cardiac etiology)
None (died, non- 47 cardiac etiology)
N/A (died, non- 7 cardiac etiology)
None 3
Migraine and 3 orthodexia-
platypnea
resolved
Migraine resolved 62
Migraine 57 resolved, transient neurologic de cit
None 3 None None
N/A 2
Migraine resolved 50
None None
None (died, None pancreatic cancer
with metastasis
on chemother-
apy)
None 1 Unknown None None 3
None None
Musculoskeletal 3 chest pain
None 3 None 6
(Continued) PFO/ASD Closure in Compromised Patients