Evidence map›Paper›PMID 29680895›Full record

ReviewJournal of neurology2018

Patent foramen ovale and stroke.

Bruno Miranda, Ana Catarina Fonseca, José M Ferro

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 104 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Occurrence of cerebral COJournal of medical case reports · 2025
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  12. An Automated Heart Shunt Recognition Pipeline Using Deep Neural Networks.Journal of imaging informatics in medicine · 2024
    Article
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  14. Review
  15. Review
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Bruno MirandaDepartment of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria-CHLN, Instituto de Medicina Molecular, University of Lisbon, Lisbon, Portugal.
Ana Catarina FonsecaDepartment of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria-CHLN, Instituto de Medicina Molecular, University of Lisbon, Lisbon, Portugal.
José M FerroDepartment of Neurosciences and Mental Health (Neurology), Hospital de Santa Maria-CHLN, Instituto de Medicina Molecular, University of Lisbon, Lisbon, Portugal. jmferro@medicina.ulisboa.pt.
Hospital de Santa Maria · PTUniversity of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A patent foramen ovale (PFO) is a highly prevalent finding in cryptogenic ischaemic stroke, particularly in young adults. A common challenge in clinical practice is to distinguish between incidental and pathogenic PFO. Some clinical features and tools such as the Risk of Paradoxical Embolism score may help determining the probability of a stroke-related PFO. Nonetheless, the best therapeutic option to reduce stroke recurrence after a cryptogenic stroke with PFO has been a matter of debate for a long time. We review the mechanisms of stroke-related PFO, together with its clinical features and diagnostic criteria. In addition, we focus on the methodological details and results from new studies in the field of secondary prevention. In contrast to prior evidence, the data from three recent clinical trials and an updated meta-analysis favour PFO closure over medical treatment after cryptogenic stroke/TIA for the prevention of stroke recurrence. The PFO closure device procedure is not associated with higher mortality or cardiovascular events, except for a small increase in the occurrence of transient atrial fibrillation. Furthermore, the benefit of PFO closure was higher among those with atrial septal aneurysm and PFO with large right-to-left shunt. Future studies should address pending issues such as the option for anticoagulants or antiplatelet in patients not undergoing closure, the duration of antiplatelet treatment after PFO closure and the role of PFO closure in patients older than 60.

Indexed as

Brain IschemiaForamen Ovale, PatentHumansStrokeCardioembolismCryptogenic strokePatent foramen ovaleSecondary preventionStrokeYoung stroke

Identifiers

PMID29680895
OpenAlexW2802435957

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.