ArticleDiving and hyperbaric medicine2019
The effectiveness of risk mitigation interventions in divers with persistent (patent) foramen ovale.
Article in Diving and hyperbaric medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- South Pacific Underwater Medicine Society guidelines for cardiovascular risk assessment of divers.Diving and hyperbaric medicine · 2020Guideline
- Diagnosis and Management of Patients with Patent Foramen Ovale: Current Evidence and Future Perspective.Journal of cardiovascular development and disease · 2026Review
- Updates on Patent Foramen Ovale (PFO) Closure.Current cardiology reports · 2024Review
- Patent Foramen Ovale Closure in Special Clinical Situations: More Questions Than Answers?Life (Basel, Switzerland) · 2024Review
- Decompression illness: a comprehensive overview.Diving and hyperbaric medicine · 2024Article
- Approval, Evidence, and "Off-Label" Device Utilization: The Patent Foramen Ovale Closure Story.Circulation. Cardiovascular quality and outcomes · 2024Article
- Visualization and Bibliometric Analysis of Research Trends on Hyperbaric Oxygen Therapy.International journal of environmental research and public health · 2022Article
- Cardiovascular considerations for scuba divers.Heart (British Cardiac Society) · 2022Review
- European position paper on the management of patients with patent foramen ovale. Part II - Decompression sickness, migraine, arterial deoxygenation syndromes and select high-risk clinical conditions.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2021Article
- Patent Foramen Ovale-A Not So Innocuous Septal Atrial Defect in Adults.Journal of cardiovascular development and disease · 2021Review
- Decompression sickness after a highly conservative dive in a diver with known persistent foramen ovale: Case report.Diving and hyperbaric medicine · 2021Article
- Does persistent (patent) foramen ovale closure reduce the risk of recurrent decompression sickness in scuba divers?Diving and hyperbaric medicine · 2021Article
- Increased Risk of Decompression Sickness When Diving With a Right-to-Left Shunt: Results of a Prospective Single-Blinded Observational Study (The "Carotid Doppler" Study).Frontiers in physiology · 2021Article
- A review of diving practices and outcomes following the diagnosis of a persistent (patent) foramen ovale in compressed air divers with a documented episode of decompression sickness.Diving and hyperbaric medicine · 2020Review
- Risk mitigation in divers with persistent (patent) foramen ovale.Diving and hyperbaric medicine · 2019Article
- Patent foramen ovale in children: Unique pediatric challenges and lessons learned from adult literature.Annals of pediatric cardiologyReview
- SCAI Guidelines for the Management of Patent Foramen Ovale.Journal of the Society for Cardiovascular Angiography & InterventionsArticle
- SCAI Technical Review on Management of Patent Foramen Ovale.Journal of the Society for Cardiovascular Angiography & InterventionsArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPersistent (patent) foramen ovale (PFO) is a recognized risk for decompression sickness (DCS) in divers, which may be mitigated by conservative diving or by PFO closure. Our study aimed to compare the effectiveness of these two risk mitigation interventions.
methodsThis was a prospective study on divers who tested positive for PFO or an atrial septal defect (ASD) and either decided to continue diving without closure ('conservative group'), or to close their PFO/ASD and continue diving ('closure group'). Divers' characteristics, medical history, history of diving and history of DCS were reported at enrollment and annually after that. The outcome measures were the incidence rate of DCS, frequency and intensity of diving activities, and adverse events of closure.
resultsDivers in both groups dived less and had a lower incidence rate of confirmed DCS than before the intervention. In the closure group (n = 42) the incidence rate of confirmed DCS decreased significantly. Divers with a large PFO experienced the greatest reduction in total DCS. In the conservative group (n = 23), the post-intervention decrease in confirmed DCS incidence rate was not significant. Of note, not all divers returned to diving after closure. Seven subjects reported mild adverse events associated with closure; one subject reported a serious adverse event.
conclusionsPFO closure should be considered on an individual basis. In particular, individuals who are healthy, have a significant DCS burden, a large PFO or seek to pursue advanced diving may benefit from closure.
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