PFO

Table 1

Characteristic N = 1381
Age (years) 51 (12)
Age Category, n (%)
    0 124 (90%)
    1 10 (7.2%)
    2 4 (2.9%)
Gender, n (%) 82 (59%)
PFO Type, n (%)
    0 2 (1.4%)
    1 133 (96%)
    2 3 (2.2%)
Hypertension, n (%) 66 (48%)
Dyslipidemia, n (%) 65 (47%)
Diabetes, n (%) 10 (7.2%)
Smoking, n (%)
    0 90 (65%)
    1 39 (28%)
    2 9 (6.5%)
Carotid Artery Disease, n (%) 15 (11%)
Contraceptive Therapy, n (%) 2 (1.4%)
Acute Myocardial Infarction, n (%) 3 (2.2%)
Deep Vein Thrombosis, n (%) 7 (5.1%)
Peripheral Artery Disease, n (%) 14 (10%)
Heart Failure, n (%) 0 (0%)
Pulmonary Embolism, n (%) 2 (1.4%)
Anxiety - Depression, n (%) 21 (15%)
Thrombophilia, n (%) 15 (11%)
Migraine, n (%) 48 (35%)
Cryptogenic Stroke, n (%) 41 (30%)
Transient Ischemic Attack, n (%) 38 (28%)
Syncope, n (%) 16 (12%)
Antiplatelet Therapy, n (%) 104 (75%)
Anticoagulation, n (%) 6 (4.4%)
Nickel Allergy, n (%) 7 (5.1%)
CHADS-VASc Score 2.63 (1.43)
ROPE Score 5.59 (1.78)
Left Atrium Dilation (mm) 11 (8.3%)
LAVi (mL/m²) 22.3 (7.1)
RA area (cm²) 15.8 (6.0)
Septal Aneurysm, n (%) 115 (96%)
Moderate Shunt, n (%) 37 (31%)
Severe Shunt, n (%) 81 (67%)
Gliosis, n (%) 110 (81%)
Bilateral Cerebral Lesions, n (%) 69 (52%)
PFO Dimension (mm) 3.96 (2.34)
Tunnel Length (mm) 12.4 (4.9)
Aortic Rim (mm) 10.31 (2.69)
PFO, n (%) 135 (99%)
ASD (mm) 5 (3.7%)
TEE Guided, n (%) 118 (88%)
ICE Guided, n (%) 16 (12%)
Amplatzer, n (%) 32 (24%)
Amplatzer Cribriform, n (%) 8 (5.9%)
Amplatzer ASD, n (%) 0 (0%)
Gore Cardioform, n (%) 33 (24%)
CeraFlex, n (%) 22 (16%)
Figulla Occluder, n (%) 38 (28%)
Device Type, n (%)
    1 32 (24%)
    2 8 (5.9%)
    4 33 (24%)
    5 22 (16%)
    6 38 (28%)
    7 2 (1.5%)
Device Size (mm)
    16/18 1 (0.8%)
    18/18 2 (1.5%)
    18/25 29 (22%)
    20 2 (1.5%)
    23/25 25 (19%)
    24 1 (0.8%)
    25 33 (25%)
    25/18 3 (2.3%)
    25/25 17 (13%)
    25/30 1 (0.8%)
    27/30 3 (2.3%)
    28.5 1 (0.8%)
    28.5/28.5 3 (2.3%)
    28/28 2 (1.5%)
    30 6 (4.5%)
    30/30 1 (0.8%)
    33/33 1 (0.8%)
    35 1 (0.8%)
Device Symmetry, n (%) 61 (47%)
Dimensions, n (%)
    1 5 (3.8%)
    2 118 (91%)
    3 7 (5.4%)
Double Access, n (%) 16 (12%)
Ultrasound-guided Puncture, n (%) 95 (70%)
No Sedation, n (%) 15 (11%)
Anesthesia, n (%) 28 (21%)
Sedation with MID-DEX, n (%) 92 (68%)
Procedural Time (minutes) 34 (18)
Vascular Access Complications, n (%) 8 (5.9%)
Pericardial Effusion, n (%) 4 (3.0%)
Dual Antiplatelet Therapy, n (%) 133 (99%)
Single Antiplatelet Therapy, n (%) 2 (1.5%)
Oral Anticoagulation, n (%) 3 (2.2%)
LASr Pre (%) 35 (9)
LAScd Pre (%) -20 (8)
LASct Pre (%) -15.0 (5.2)
LAEF Pre (%) 58 (11)
LASr Post (%) 31 (13)
LAScd Post (%) -16 (9)
LASct Post (%) -15 (5)
LAEF Post (%) 55 (10)
Shunt at 6 Months
    0 74 (68%)
    1 18 (17%)
    2 11 (10%)
    3 6 (5.5%)
Shunt at 12 Months
    0 2 (18%)
    2 8 (73%)
    3 1 (9.1%)
1 Mean (SD); n (%)

LA Strain Change

Figure 1

Table 2

Characteristic Pre, N = 441 Post, N = 441 p-value2
LASr (%) 35.09 (9.19) 30.98 (12.62) 0.026
LAScd (%) -20.32 (8.02) -16.02 (9.04) 0.004
LASct (%) -15.02 (5.22) -14.79 (5.48) 0.7
LAEF (%) 57.80 (10.82) 55.38 (10.37) 0.085
1 Mean (SD)
2 Wilcoxon rank sum test

Sottopopolazione pazienti con strain pre e post

Characteristic N = 441
Age (years) 51 (12)
Age Category, n (%)
    0 41 (93%)
    1 2 (4.5%)
    2 1 (2.3%)
Gender, n (%) 22 (50%)
Hypertension, n (%) 23 (52%)
Dyslipidemia, n (%) 23 (52%)
Diabetes, n (%) 2 (4.5%)
Smoking, n (%)
    0 28 (64%)
    1 9 (20%)
    2 7 (16%)
Carotid Artery Disease, n (%) 6 (14%)
Contraceptive Therapy, n (%) 0 (0%)
Acute Myocardial Infarction, n (%) 1 (2.3%)
Deep Vein Thrombosis, n (%) 0 (0%)
Peripheral Artery Disease, n (%) 3 (6.8%)
Heart Failure, n (%) 0 (0%)
Pulmonary Embolism, n (%) 1 (2.3%)
Anxiety - Depression, n (%) 2 (4.5%)
Thrombophilia, n (%) 5 (11%)
Migraine, n (%) 13 (30%)
Cryptogenic Stroke, n (%) 12 (27%)
Transient Ischemic Attack, n (%) 9 (20%)
Syncope, n (%) 6 (14%)
Antiplatelet Therapy, n (%) 33 (75%)
Anticoagulation, n (%) 2 (4.5%)
Nickel Allergy, n (%) 2 (4.5%)
CHADS-VASc Score 2.60 (1.47)
ROPE Score 5.49 (1.90)
Left Atrium Dilation (mm) 3 (7.7%)
LAVi (mL/m²) 23 (8)
RA area (cm²) 14.7 (3.6)
Septal Aneurysm, n (%) 36 (95%)
Moderate Shunt, n (%) 9 (23%)
Severe Shunt, n (%) 28 (72%)
Gliosis, n (%) 26 (62%)
Bilateral Cerebral Lesions, n (%) 16 (40%)
PFO Dimension (mm) 4.88 (3.46)
Tunnel Length (mm) 12.6 (5.3)
Aortic Rim (mm) 10.0 (3.0)
PFO, n (%) 41 (98%)
ASD (mm) 1 (2.4%)
TEE Guided, n (%) 41 (100%)
ICE Guided, n (%) 0 (0%)
Amplatzer, n (%) 6 (15%)
Amplatzer Cribriform, n (%) 0 (0%)
Amplatzer ASD, n (%) 0 (0%)
Gore Cardioform, n (%) 1 (2.4%)
CeraFlex, n (%) 17 (41%)
Figulla Occluder, n (%) 15 (37%)
Device Type, n (%)
    1 6 (15%)
    4 1 (2.4%)
    5 17 (41%)
    6 15 (37%)
    7 2 (4.9%)
Device Size (mm)
    16/18 1 (2.6%)
    18/25 7 (18%)
    23/25 9 (23%)
    25/18 1 (2.6%)
    25/25 14 (36%)
    25/30 1 (2.6%)
    27/30 1 (2.6%)
    28.5/28.5 1 (2.6%)
    28/28 2 (5.1%)
    30/30 1 (2.6%)
    33/33 1 (2.6%)
Device Symmetry, n (%) 19 (51%)
Dimensions, n (%)
    1 1 (2.7%)
    2 34 (92%)
    3 2 (5.4%)
Double Access, n (%) 0 (0%)
Ultrasound-guided Puncture, n (%) 40 (98%)
No Sedation, n (%) 0 (0%)
Anesthesia, n (%) 0 (0%)
Sedation with MID-DEX, n (%) 41 (100%)
Procedural Time (minutes) 40 (19)
Vascular Access Complications, n (%) 3 (7.3%)
Pericardial Effusion, n (%) 1 (2.4%)
Dual Antiplatelet Therapy, n (%) 40 (98%)
Single Antiplatelet Therapy, n (%) 1 (2.4%)
Oral Anticoagulation, n (%) 1 (2.4%)
LASr Pre (%) 35 (9)
LAScd Pre (%) -20 (8)
LASct Pre (%) -15.0 (5.2)
LAEF Pre (%) 58 (11)
LASr Post (%) 31 (13)
LAScd Post (%) -16 (9)
LASct Post (%) -15 (5)
LAEF Post (%) 55 (10)
Shunt at 6 Months
    0 14 (52%)
    1 6 (22%)
    2 7 (26%)
Shunt at 12 Months
    2 6 (100%)
1 Mean (SD); n (%)