ArticleJACC. Cardiovascular interventions2020
Predictors of Residual Right-to-Left Shunt After Percutaneous Suture-Mediated Patent Fossa Ovalis Closure.
Article in JACC. Cardiovascular interventions, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 39 citations in OpenAlex.
- Beyond Tunnel Length: Tunnel Width-Derived Cover Index Improves Device Sizing and Predicts Outcomes After Transcatheter Patent Foramen Ovale Closure.Journal of the Society for Cardiovascular Angiography & Interventions · 2026Article
- Impact of Patent Foramen Ovale Anatomical Complexity on Fluoroscopy Time During Transcatheter Closure.Acta Cardiologica Sinica · 2026Article
- Percutaneous Patent Foramen Ovale Closure and Aneurysm Elimination by Direct Suture.JACC. Case reports · 2026Article
- Patent foramen ovale is associated with white matter hyperintensities in young adults: a case-control study.Frontiers in neurology · 2026Article
- Treatment of patent foramen ovale.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025Review
- Retrospective Comparison of Device Versus Suture for Patent Foramen Ovale Closure.Heart international · 2025Article
- White matter hyperintensity burden in young patent foramen ovale patients and its correlation with migraine.Frontiers in neurology · 2025Article
- Predictors of Residual Right to Left Shunt in Patients Undergoing Percutaneous Transcatheter Patent Foramen Ovale Closure: A New Clue "Inferior Vena Cava-Patent Foramen Ovale Angle".Journal of clinical medicine · 2024Article
- Transcatheter PFO closure for cryptogenic stroke: current approaches and future considerations.Frontiers in cardiovascular medicine · 2024Review
- Atrial function after percutaneous occluder device and suture-mediated patent fossa ovalis closure.European heart journal. Imaging methods and practice · 2024Article
- NobleStitch Patent Foramen Ovales Closure for Recurrent Strokes in a Patient with COVID-19 on Extracorporeal Membrane Oxygenation.Journal of cardiothoracic and vascular anesthesia · 2023Article
- Three-dimensional Transesophageal Echocardiography for Transcatheter Patent Foramen Ovale Closure: Standardizing Anatomic Nomenclature and Novel Sizing Concepts.CASE (Philadelphia, Pa.) · 2023Article
- Noblestitch® system for PFO closure: A novel but judicious alternative to traditional devices-A case report.Frontiers in cardiovascular medicine · 2023Article
- Clinical and brain magnetic resonance imaging long-term follow-up in patients with cryptogenic stroke undergoing PFO closure with the NobleStitch EL system. A single-centre experience.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2022Article
- A systematic transoesophageal echocardiography study of suture-mediated percutaneous patent foramen ovale closure.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022Article
- Mechanisms of ineffective patent foramen ovale closure using the percutaneous suture-mediated NobleStitch system.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022Article
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study sought to assess patent fossa ovalis (PFO) anatomy by transesophageal echocardiography (TEE) in patients undergoing percutaneous suture-mediated PFO closure to identify predictors of post-procedural residual atrial right-to-left shunt (RLS).
backgroundPercutaneous suture-mediated PFO closure has been proven to be a safe and effective technique in most PFO patients.
methodsFrom June 2016 to October 2019, 247 consecutive patients underwent percutaneous suture-mediated PFO closure at our institution. Of them, 230 (46 ± 13 years of age, 146 women) had complete and technically evaluable pre-procedural TEE. The following parameters in short-axis view were assessed: presence and grade of spontaneous RLS, PFO length and width, presence of atrial septal aneurysm and its maximal bulge, and presence of an embryonic or fetal remnant (Chiari network or Eustachian valve).
resultsAt the first follow-up transthoracic echocardiography performed between 3 and 6 months from the closure procedure, a residual RLS ≥2 grade was found in 37 (16%) patients. Grade of pre-procedural spontaneous RLS (hazard ratio: 1.99; 95% confidence interval: 1.14 to 3.48; p = 0.016) shunt and PFO width (hazard ratio: 2.52; 95% confidence interval: 1.85 to 3.43; p < 0.001) were both found to be significantly associated with significant residual RLS at multivariable analysis. The presence of atrial septal aneurysm and its maximal bulge and of congenital remnants was not associated with significant residual RLS.
conclusionsPercutaneous suture-mediated PFO closure is feasible in the majority of septal anatomies; however, PFO >5 mm in width and spontaneous large RLS are less likely to be closed with 1 stitch only.
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