Who qualifies for PFO closure?

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.

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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.

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 do not respond to medication may need a minimally invasive, catheter-based procedure. Your interventional cardiologist closes the PFO with a small closure device. This is done in a cardiac catheterization (cath) laboratory.

PFO closure may be offered to younger patients (e.g., <30 years) with a single, small, deep stroke (<1.5 cm), a large shunt, and absence of any vascular risk factors that would lead to intrinsic small-vessel disease such as hypertension, diabetes, or hyperlipidemia (level C).

Your healthcare provider may also repair the PFO by transcatheter repair or heart surgery. A transcatheter repair is less invasive than a surgical repair.

You will receive local anesthesia or a light sedative. You will be awake but should not feel any discomfort during the procedure. During PFO closure, your doctor will implant a closure device that plugs your PFO using a catheter that is threaded through a vein in your groin and guided to your heart.

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.

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A specialized, FDA-approved device can be used to close a hole in the heart, called an ASO, or "Amplatzer Septal Occluder." Learn about treatments at Scripps for underlying conditions that can contribute to cryptogenic stroke, including A-Fib, patent foramen ovale and more.How do I get ready for robotic-assisted patent foramen ovale repair? The foramen ovale is a normal opening between the upper two chambers of an unborn baby's heart. During transcatheter repair, a healthcare provider inserts a device that can plug up the PFO. Select a state and find a physician near you who is Gore-certified on GORE CARDIOFORM Septal Occluder for PFO closure procedures. In roughly 75 percent of cases, the hole, called a patent foramen ovale (PFO), closes on its own and requires no treatment. This efficient approach may be advantageous in optimizing workflow and minimizing hospital occupancy. Dr. Lee MacDonald from South Denver Cardiology Associates talks about holes in the heart. Are they normal, do they need to be treated?

Patent Foramen Ovale Closure In San Diego

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