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Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
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Stroke during pregnancy: therapeutic options and role of percutaneous device closure

Lisa Dark1, Andre Loiselle, Rachael Hatton

  • 1Department of Neurology, Neurosurgery and Neurophysiology, John Hunter Hospital, Lookout Rd., New Lambton, NSW, Australia.

Heart, Lung & Circulation
|April 5, 2011
PubMed

Percutaneous device closure of patent foramen ovale has developed into a therapeutic option for patients with presumed cryptogenic stroke. The appropriate use of these therapies relies on appropriate clinical assessment, as well as an understanding of the potential advantages of certain closure devices. Pregnancy is an uncommon scenario for stroke, but nonetheless represents a hypercoaguable state which may predispose to thromboembolism. We describe a case of stroke during pregnancy treated with percutaneous device closure; the role of, and alternatives to, device closure are discussed, as are specific issues related to device selection and the interventional procedure.

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