Evidence map›Paper›PMID 39131947›Full record

ArticleJournal of the Society for Cardiovascular Angiography & Interventions

SCAI Guidelines for the Management of Patent Foramen Ovale.

Clifford J Kavinsky, Molly Szerlip, Andrew M Goldsweig, Zahid Amin, Konstantinos Dean Boudoulas, John D Carroll, Megan Coylewright, Sammy Elmariah, Lee A MacDonald, Atman P Shah and 7 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of the Society for Cardiovascular Angiography & Interventions. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 112 papers.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed
–field-weighted citation impact
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

112 citing papers in PubMed.

  1. Trial
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  5. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
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  6. Observational
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  13. Review
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  17. Observational
  18. Platypnea-orthodeoxia syndrome in an 86-year-old woman with a patent foramen ovale.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  19. Article
  20. Article

52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Clifford J KavinskyRush University Medical Center, Chicago, Illinois.
Molly SzerlipBaylor Scott & White The Heart Hospital, Plano, Texas.
Andrew M GoldsweigThe University of Nebraska Medical Center, Omaha, Nebraska.
Zahid AminAdventHealth Medical Group, Orlando, Florida.
Konstantinos Dean BoudoulasThe Ohio State University Wexner Medical Center, Columbus, Ohio.
John D CarrollUniversity of Colorado Anschutz Medical Campus, Aurora, Colorado.
Megan CoylewrightErlanger Health System, Chattanooga, Tennessee.
Sammy ElmariahMassachusetts General Hospital, Boston, Massachusetts.
Lee A MacDonaldSouth Denver Cardiology, Littleton, Colorado.
Atman P ShahThe University of Chicago, Chicago, Illinois.
Christian SpiesSutter Health Palo Alto Medical Foundation, Burlingame, California.
Jonathan M TobisDavid Geffen School of Medicine at UCLA, Los Angeles, California.
Steven R MesséHospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Emily SenerthSociety for Cardiovascular Angiography & Interventions, Washington, DC.
Yngve Falck-YtterCase Western Reserve University/VA Northeast Ohio Healthcare System, Cleveland, Ohio.
Ifeoluwa BabatundeEvidence Foundation, Cleveland Heights, Ohio.
Rebecca L MorganDepartment of Health Research Methods, McMaster University, Hamilton, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patent foramen ovale (PFO) is a vestigial congenital cardiovascular structure present in around 25% of adults. In most cases, PFO is entirely benign and requires no treatment. However, it may cause serious complications under certain circumstances. Objective: These evidence-based guidelines from the Society for Cardiovascular Angiography and Interventions (SCAI) aim to support patients, clinicians, and other stakeholders in decisions about management of PFO. Methods: SCAI convened a multidisciplinary guideline panel balanced to minimize potential bias from conflicts of interest. The Evidence Foundation, a registered 501(c)(3) nonprofit organization, provided methodological support for the guideline-development process. Following the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach, the guideline panel formulated and prioritized clinical questions in population, intervention, comparison, outcome (PICO) format. A separate technical review team of clinical and methodological experts conducted systematic reviews of the evidence, synthesized data, and graded the certainty of the evidence across outcomes. The guideline panel then reconvened to formulate recommendations and supporting remarks informed by the results of the technical review and additional contextual factors described in the GRADE evidence-to-decision framework. Results: The panel agreed on 13 recommendations to address variations on 5 clinical scenarios. Conclusions: Key recommendations address patient selection for PFO closure in the prevention of recurrent PFO-associated stroke, including populations not commonly included in randomized studies, and scenarios where the PFO closure might serve a role in the prevention of other outcomes such as migraine headaches and decompression illness. The panel has also identified future research priorities to advance the field.

Indexed as

TBD

Identifiers

PMID39131947
PMCPMC11307505

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.