[Percutaneous closure of patent foramen ovale: preliminary experience with the PFO Star].
This article reports the experience of percutaneous closure of patent foramen ovale with the PFO Star device. Between January 2000 and December 2002, 44 consecutive patients with a mean age of 53 years were included in this registry. The implantation of the prosthesis was successful in 43 patients (98%): in 1 patient the atrial septum could not be crossed at operation. An early complication was observed in 3 patients (7%): one had transient amnesia and two patients had temporary ST elevation in the inferior ECG leads. Four patients (7%) had late complications: there was one case of spontaneously regressive atrial fibrillation, two recurrences of stroke (one in the patient without an implanted prosthesis and the other in a patient in whom the patent foramen ovale had been closed). Finally, one patient developed a fistula between the aorta and right atrium which occluded spontaneously when the anticoagulants were stopped. Complete closure of the patent foramen ovale was confirmed at 1 year in 92% of patients. The authors conclude that this preliminary experience shows that closure of patent foramen ovale with this device is effective and safe.
Service de cardiologie, clinique Cecil, Lausanne, Suisse. staufferjc@hopcantfr.ch
J C
JC
Stauffer
M
M
Serra
J M
JM
Juillard
C
C
Seydoux
F
F
Perret
R
R
Owlya
M
M
Savcic
P
P
Beuret
J J
JJ
Goy
D000328:Adult; D006328:Cardiac Catheterization / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004562:Electrocardiography; D005260:Female; D006325:Heart Atria / Q000473:pathology; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods*; D012042:Registries / Q000706:statistics & numerical data*; D016896:Treatment Outcome