Evidence map›Paper›PMID 37658692›Full record

ArticleEuropean stroke journal2023

Long-term risk of recurrent cerebrovascular events after patent foramen ovale closure: Results from a real-world stroke cohort.

Markus Kneihsl, Susanna Horner, Isra Hatab, Nora Schöngrundner, Diether Kramer, Gabor Toth-Gayor, Gernot Grangl, Gerit Wünsch, Simon Fandler-Höfler, Melanie Haidegger and 5 more

Open access · greenAbstract read
In one paragraph

Article in European stroke journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Stroke and transient ischemic attack recurrence after PFO closure in patients with cryptogenic embolism.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026
    Article
  2. Article
  3. Stroke recurrence after transcatheter PFO closure in patients with cryptogenic stroke.International journal of stroke : official journal of the International Stroke Society · 2025
    Article
  4. Review
  5. Review
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

15 authors at 3 institutions in 2 countries.

Markus KneihslDepartment of Neurology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-6334-9432
Susanna HornerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Isra HatabDepartment of Neurology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-5062-9558
Nora SchöngrundnerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Diether KramerDepartment of Information and Process Management, Steiermärkische Krankenanstaltengesellschaft m.b.H. (KAGes), Graz, Austria.
Gabor Toth-GayorDivision of Cardiology, Department of Internal Medicine, Medical University Graz, Graz, Austria.
Gernot GranglDivision of Pediatric Cardiology, Department of Pediatrics, Medical University Graz, Graz, Austria.
Gerit WünschInstitute of Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Simon Fandler-HöflerDepartment of Neurology, Medical University of Graz, Graz, Austria.ORCID 0000-0001-9043-0378
Melanie HaideggerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Natalie BergerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Sai VeerankiDepartment of Information and Process Management, Steiermärkische Krankenanstaltengesellschaft m.b.H. (KAGes), Graz, Austria.
Urs FischerDepartment of Neurology, University Hospital Basel, University of Basel, Basel, Switzerland.
Christian EnzingerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Thomas GattringerDepartment of Neurology, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATWiener Krankenanstaltenverbund · ATUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatent foramen ovale (PFO)-closure is recommended for stroke prevention in selected patients with suspected PFO-associated stroke. However, studies on cerebrovascular event recurrence after PFO-closure are limited by relatively short follow-up periods and information on the underlying aetiology of recurrent events is scarce. PATIENTS AND

methodsAll consecutive patients with a cerebral ischaemic event and PFO-closure at the University Hospital Graz were prospectively identified from 2004 to 2021. Indication for PFO-closure was based on a neurological-cardiological PFO board decision. Patients underwent standardized clinical and echocardiographic follow-up 6 months after PFO-closure. Recurrent cerebrovascular events were assessed via electronical health records.

resultsPFO-closure was performed in 515 patients (median age: 49 years; Amplatzer PFO occluder: 42%). Over a median follow-up of 11 years (range: 2-18 years, 5141 total patient-years), recurrent ischaemic cerebrovascular events were observed in 34 patients (ischaemic stroke: DISCUSSION AND

conclusionIn this long-term follow-up-study of patients with a cerebral ischaemic event who had received PFO-closure with different devices, rates of recurrent stroke/TIA were low and largely related to large artery atherosclerosis and small vessel disease. Thorough vascular risk factor control seems crucial for secondary stroke prevention in patients treated for PFO-related stroke.

Indexed as

AtherosclerosisBrain IschemiaForamen Ovale, PatentIschemic Attack, TransientStrokeCerebral InfarctionHumansMiddle AgedTreatment OutcomeCryptogenic strokelong-term follow-uppatent foramen ovale closurerecurrent cerebrovascular events

Identifiers

PMID37658692
PMCPMC10683717
OpenAlexW4386386642

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.