Evidence map›Paper›PMID 36712245›Full record

ArticleFrontiers in cardiovascular medicine2022

Patent foramen ovale occlusion with the Cocoon PFO Occluder. The PROS-IT collaborative project.

Luca Testa, Antonio Popolo Rubbio, Mattia Squillace, Flavio Albano, Vincenzo Cesario, Matteo Casenghi, Giuseppe Tarantini, Paolo Pagnotta, Alfonso Ielasi, Grigore Popusoi and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07380490 (Randomised Controlled Trial Comparing the Safety and EfficAcy of the Cocoon PFO Occluder Versus Amplatzer PFO ClosurE Device for Percutaneous Closure of Patent Foramen Ovale in Patients With a History of Stroke or Transient Ischemic Attack A Non-Profit, Single-blind, Investigator Driven Trial), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% 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.

NCT07380490 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Randomised Controlled Trial Comparing the Safety and EfficAcy of the Cocoon PFO Occluder Versus Amplatzer PFO ClosurE Device for Percutaneous Closure of Patent Foramen Ovale in Patients With a History of Stroke or Transient Ischemic Attack A Non-Profit, Single-blind, Investigator Driven Trial

TypeinterventionalSponsorGiuseppe TarantiniRan2026 to 2028Enrolled1,260ConditionsPatent Foramen Ovale, Stroke, Transient Ischemic Attack (TIA)ArmsPFO Closure procedure
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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

21 authors at 14 institutions in 2 countries.

Luca TestaDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
Antonio Popolo RubbioDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
Mattia SquillaceDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
Flavio AlbanoDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
Vincenzo CesarioDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
Matteo CasenghiDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
Giuseppe TarantiniDepartment of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy.
Paolo PagnottaCardio Center, Humanitas Research Hospital, Milan, Italy.
Alfonso IelasiClinical and Interventional Cardiology Unit, Istituto Clinico Sant'Ambrogio, Milan, Italy.
Grigore PopusoiInterventional Cardiology Service, Montevergine Clinic, Mercogliano, Italy.
Leonardo PalosciaU.O.C. Cardiologia-UTIC, Ospedale Santo Spirito, Pescara, Italy.
Alessandro DuranteCardiology Unit, Policlinico San Marco, Bergamo, Italy.
Diego MaffeoFondazione Poliambulanza, Brescia, Italy.
Francesco MeucciStructural Interventional Cardiology, Careggi University Hospital, Florence, Italy.
Giuliano ValentiniCardiology Intensive Care Unit and Cath Lab, Ospedale Civile SS. Filippo e Nicola, L'Aquila, Italy.
Gian Paolo UssiaUnit of Cardiovascular Science, Department of Medicine, Campus Bio-Medico University, Rome, Italy.
Paolo CioffiDepartment of Cardiology, Cardiac Cath Lab, Città di Alessandria Institute, Alessandria, Italy.
Bernardo CorteseDepartment of Cardiology, San Carlo Clinic, Milan, Italy.
Giuseppe SangiorgiDepartment of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, Italy.
Gaetano ContegiacomoDepartment of Interventional Cardiology, Anthea Hospital, GVM Care and Research, Bari, Italy.
Francesco BedogniDepartment of Cardiology, IRCCS Policlinico San Donato, Milan, Italy.
IRCCS Policlinico San Donato · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Sanitaria Locale Alessandria · ITFondazione Poliambulanza Istituto Ospedaliero · ITIRCCS Humanitas Research Hospital · ITIstituto Clinico Sant'Ambrogio · ITOspedale di Santo Spirito · ITOspedale San Carlo · ITOspedale San Filippo Neri · ITUniversità Campus Bio-Medico · ITUniversity of Bergamo · ITUniversity of Padua · ITUniversity of Rome Tor Vergata · ITWoodlands Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Cocoon patent foramen ovale (PFO) Occluder is a new generation nitinol alloy double-disk device coated with nanoplatinum, likely useful in patients with nickel hypersensitivity. Early results and mid-term outcomes of this device in percutaneous PFO closure are missing. Aims: To assess the preliminary efficacy and safety profile of PFO closure with Cocoon device in an Italian multi-center registry. Methods: This is a prospective registry of 189 consecutive adult patients treated with the Cocoon PFO Occluder at 15 Italian centers from May 2017 till May 2020. Patients were followed up for 2 years. Results: Closure of the PFO with Cocoon Occluder was carried out successfully in all patients, with complete closure without residual shunt in 94.7% of the patients and minimal shunt in 5.3%. Except from a case of paroxysmal supraventricular tachycardia and a major vascular bleeding, no procedural and in-hospital device-related complications occurred. No patient developed cardiac erosions, allergic reactions to nickel, or any other major complications during the follow-up. During the follow-up period, 2 cases of new-onset atrial fibrillation occurred within thirty-day. Conclusions: Percutaneous closure of PFO with Cocoon Occluder provided satisfactory procedural and mid-term clinical follow-up results in a real-world registry.

Indexed as

embolismnanoparticlepatent foramen ovale (PFO)platinumtranslational

Identifiers

PMID36712245
PMCPMC9875285
OpenAlexW4315572279

What OpenQuestion holds

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Registered trials

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.