Evidence map›Paper›PMID 40765617›Full record

SynthesisFrontiers in neurology2025

Global research trends and frontiers in patent foramen ovale closure: a comprehensive bibliometric analysis (2004-2024).

Jie Liu, Yehong Liu, Ying Sheng, Jiangping Ye, Rikang Yuan, Xiao Wang, Gangjun Zong

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  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

7 authors.

Jie LiuDepartment of Cardiology, No. 904 Hospital of the PLA Joint Logistics Support Force, Wuxi, China.
Yehong LiuDepartment of Cardiology, No. 904 Hospital of the PLA Joint Logistics Support Force, Wuxi, China.
Ying ShengDepartment of Cardiology, No. 904 Hospital of the PLA Joint Logistics Support Force, Wuxi, China.
Jiangping YeDepartment of Cardiology, No. 904 Hospital of the PLA Joint Logistics Support Force, Wuxi, China.
Rikang YuanDepartment of Cardiology, No. 904 Hospital of the PLA Joint Logistics Support Force, Wuxi, China.
Xiao WangDepartment of Cardiology, No. 904 Hospital of the PLA Joint Logistics Support Force, Wuxi, China.
Gangjun ZongDepartment of Cardiology, No. 904 Hospital of the PLA Joint Logistics Support Force, Wuxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patent foramen ovale (PFO), present in 20-30% of the population, was once considered benign but is now recognized as a contributor to cryptogenic stroke and other clinical syndromes. Recent randomized trials and updated guidelines have established PFO closure as an effective intervention, leading to a surge in research. This study uses bibliometric analysis to evaluate global research trends, collaborations, and emerging hotspots in PFO closure. Methods: We analyzed 927 English-language articles (2004-2024) from the Web of Science Core Collection using bibliometric tools (VOSviewer, CiteSpace, Bibliometrix R, online bibliometric analysis platforms). We systematically examined publication trends, contributions by countries and institutions, author networks, journal influence, and keyword clusters. Results: Annual publications increased significantly after 2017, coinciding with pivotal trial results. The United States (34.6%), Italy (16.8%), and Germany (11.5%) led in research output. Key institutions (e.g., University of Bern) and prominent authors (e.g., Meier Bernhard) played central roles. Four major research clusters were identified: mechanisms of paradoxical embolism, diagnostic imaging (e.g., transesophageal echocardiography), closure techniques (e.g., Amplatzer devices), and clinical outcomes. Burst detection revealed evolving priorities, including post-closure atrial fibrillation and improved patient selection (e.g., RoPE score). Conclusion: Research on PFO closure has progressed from pathophysiological understanding to evidence-based clinical intervention, driven by landmark trials and multidisciplinary collaboration. Future directions include optimizing patient selection, managing post-procedural complications, and expanding indications (e.g., migraine). This analysis offers a roadmap for advancing stroke prevention strategies related to PFO.

Indexed as

atrial fibrillationbibliometric analysiscryptogenic strokeglobal research trendspatent foramen ovale closurepercutaneous intervention

Identifiers

PMID40765617
PMCPMC12323715

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.