Should we be using bilateral carotid distal protection devices during the percutaneous closure of patent foramen ovale in patients with a history of paradoxical embolus?
Percutaneous closure of patent foramen ovale (PFO) is becoming standard practice, particularly in patients with a history of embolic phenomena. The acute risk of cerebrovascular accident in patients undergoing this procedure is approximately 1%. We report the first successful use of bilateral carotid artery distal protection in this situation.
Richardson
Gail
G
Department of Cardiology, London Chest Hospital, London, United Kingdom.
Keeble
Thomas R
TR
Rothman
Martin T
MT
D006328:Cardiac Catheterization; D002343:Carotid Artery, Internal / Q000601:surgery*; D017023:Coronary Angiography; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D019320:Embolism, Paradoxical / Q000175:diagnosis / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007430:Intraoperative Care; D008279:Magnetic Resonance Imaging; D008875:Middle Aged