Evidence map›Paper›PMID 40740748›Full record

ArticleUS cardiology2025

'Inverted Tulip': New Deformation of Atrial Septal Defect Closure Devices.

Kevin Velarde-Acosta, Josh Yefry Moscoso Ramirez, Paol Jhullian Rojas, Jorge Ruiz-Esquivel, Roberto Baltodano-Arellano

Abstract readCase Reports
In one paragraph

Article in US cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Kevin Velarde-AcostaClinical Cardiology Department, Hospital Guillermo Almenara Irigoyen - EsSalud Lima, Peru.ORCID https://orcid.org/0000-0001-9132-0445
Josh Yefry Moscoso RamirezClinical Cardiology Department, Hospital Guillermo Almenara Irigoyen - EsSalud Lima, Peru.ORCID https://orcid.org/0000-0002-1814-4630
Paol Jhullian RojasClinical Cardiology Department, Hospital Guillermo Almenara Irigoyen - EsSalud Lima, Peru.ORCID https://orcid.org/0000-0002-2652-211X
Jorge Ruiz-EsquivelClinical Cardiology Department, Hospital Guillermo Almenara Irigoyen - EsSalud Lima, Peru.ORCID https://orcid.org/0000-0002-8995-8658
Roberto Baltodano-ArellanoSchool of Medicine, Universidad Nacional Mayor de San Marcos Lima, Peru.ORCID https://orcid.org/0000-0002-7538-2125

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 45-year-old woman (62 kg, 160 cm) who suffered an ischemic stroke associated with patent foramen ovale (PFO) with high-risk anatomical features. The defect was percutaneously closed using a LifeTech CeraFlex PFO 30 mm × 25 mm device deployed via a 12 Fr sheath after multiple implantation attempts. Following release, the right atrial disc exhibited a concave deformation, termed the 'inverted tulip,' which prolonged the procedure and resulted in a significant residual shunt. The shunt resolved spontaneously at the 1-month echocardiographic follow-up.

Indexed as

complicationsoccluder device deformationparadoxical embolismPatent foramen ovaleseptal occluder device

Identifiers

PMID40740748
PMCPMC12308144

What OpenQuestion holds

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Registered trials

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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.