Evidence map›Paper›PMID 40702786›Full record

ReviewCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2025

Navigating the Uncertainties of Antithrombotic Therapy After Transcatheter Patent Foramen Ovale Closure: A Comprehensive Review.

Eirini Beneki, Kyriakos Dimitriadis, Nikolaos Pyrpyris, Georgios Tzimas, Ioannis Skalidis, David Meier, Panagiotis Antiochos, Panagiotis Kostakis, Efthymia Pavlou, Francesco Perone and 4 more

Abstract readReview
In one paragraph

Review in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Antithrombotic Therapy in Percutaneous Atrial Structural Interventions.Journal of cardiovascular development and disease · 2026
    Review
  2. 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

14 authors.

Eirini BenekiFirst Cardiology Department, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-0464-3607
Kyriakos DimitriadisFirst Cardiology Department, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0003-3186-8905
Nikolaos PyrpyrisFirst Cardiology Department, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Georgios TzimasDepartment of Cardiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Ioannis SkalidisInstitut Cardiovasculaire Paris Sud (ICPS), Essonne, France.ORCID 0000-0002-4374-0389
David MeierDepartment of Cardiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Panagiotis AntiochosDepartment of Cardiology, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Panagiotis KostakisFirst Cardiology Department, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Efthymia PavlouLaboratory of Reliability and Quality Control in Laboratory Hematology (HemQcR), Department of Biomedical Sciences, School of Health & Caring Sciences, University of West Attica (UniWA), Egaleo, Greece.
Francesco PeroneCardiac Rehabilitation Unit, Rehabilitation Clinic 'Villa delle Magnolie', Caserta, Italy.
Georgios TsivgoulisSecond Department of Neurology, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-0640-3797
Constantina AggeliFirst Cardiology Department, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Ole de BackerDepartment of Cardiology, The Heart Center, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0002-9674-0278
Konstantinos TsioufisFirst Cardiology Department, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

The patent foramen ovale (PFO), present in 25% of the population, can cause paradoxical embolism and stroke. Transcatheter PFO closure is the gold standard for recurrent embolism with significant inter-atrial shunting, with recent trials confirming its superiority in reducing ischemic stroke recurrence over medical therapy. However, device-related thrombosis remains a concern, posing risks of systemic embolism and neurological events. Optimal post-closure antithrombotic management, including the choice and duration of therapy, remains unclear. Recommendations suggest transient dual antiplatelet therapy followed by long-term single therapy, but robust evidence is lacking, especially regarding device neo-endothelization timelines. Current studies often lack long-term follow-up, leaving gaps in understanding the incidence and prevention of thrombosis. Future research is crucial to provide evidence-based guidance and refine personalized treatment strategies for better outcomes.

Indexed as

Cardiac CatheterizationEmbolism, ParadoxicalFibrinolytic AgentsForamen Ovale, PatentPlatelet Aggregation InhibitorsThrombosisClinical Decision-MakingDrug Administration ScheduleHumansRecurrenceRisk AssessmentRisk FactorsSeptal Occluder DeviceTime FactorsTreatment OutcomeFibrinolytic AgentsPlatelet Aggregation Inhibitorsantithromboticclosurepatent foramen ovalestrategytranscathetertreatment

Identifiers

PMID40702786
PMCPMC12412357

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.