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Review

Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance

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Pediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio—Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, Via G. Massarenti, 9, 40138 Bologna, Italy
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Neuroradiology Program, IRCCS Azienda Ospedaliero—Universitaria di Bologna, 40138 Bologna, Italy
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Interventional Cardiology, Cardiology and Cardiac Surgery Program, Ospedale Bambino Gesu’, 00165 Roma, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Andy Wessels
J. Cardiovasc. Dev. Dis. 2021, 8(7), 78; https://0-doi-org.brum.beds.ac.uk/10.3390/jcdd8070078
Received: 6 June 2021 / Revised: 23 June 2021 / Accepted: 30 June 2021 / Published: 3 July 2021
Transcatheter closure of patent foramen ovale (PFO) and secundum type atrial septal defect (ASD) are common transcatheter procedures. Although they share many technical details, these procedures are targeting two different clinical indications. PFO closure is usually considered to prevent recurrent embolic stroke/systemic arterial embolization, ASD closure is indicated in patients with large left-to-right shunt, right ventricular volume overload, and normal pulmonary vascular resistance. Multimodality imaging plays a key role for patient selection, periprocedural monitoring, and follow-up surveillance. In addition to routine cardiovascular examinations, advanced neuroimaging studies, transcranial-Doppler, and interventional transesophageal echocardiography/intracardiac echocardiography are now increasingly used to deliver safely and effectively such procedures. Long-standing collaboration between interventional cardiologist, neuroradiologist, and cardiac imager is essential and it requires a standardized approach to image acquisition and interpretation. Periprocedural monitoring should be performed by experienced operators with deep understanding of technical details of transcatheter intervention. This review summarizes the specific role of different imaging modalities for PFO and ASD transcatheter closure, describing important pre-procedural and intra-procedural details and providing examples of procedural pitfall and complications. View Full-Text
Keywords: patent foramen ovale; atrial septal defect; multimodality imaging; transcatheter closure patent foramen ovale; atrial septal defect; multimodality imaging; transcatheter closure
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MDPI and ACS Style

Egidy Assenza, G.; Spinardi, L.; Mariucci, E.; Balducci, A.; Ragni, L.; Ciuca, C.; Formigari, R.; Angeli, E.; Vornetti, G.; Gargiulo, G.D.; Donti, A. Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance. J. Cardiovasc. Dev. Dis. 2021, 8, 78. https://0-doi-org.brum.beds.ac.uk/10.3390/jcdd8070078

AMA Style

Egidy Assenza G, Spinardi L, Mariucci E, Balducci A, Ragni L, Ciuca C, Formigari R, Angeli E, Vornetti G, Gargiulo GD, Donti A. Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance. Journal of Cardiovascular Development and Disease. 2021; 8(7):78. https://0-doi-org.brum.beds.ac.uk/10.3390/jcdd8070078

Chicago/Turabian Style

Egidy Assenza, Gabriele, Luca Spinardi, Elisabetta Mariucci, Anna Balducci, Luca Ragni, Cristina Ciuca, Roberto Formigari, Emanuela Angeli, Gianfranco Vornetti, Gaetano D. Gargiulo, and Andrea Donti. 2021. "Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance" Journal of Cardiovascular Development and Disease 8, no. 7: 78. https://0-doi-org.brum.beds.ac.uk/10.3390/jcdd8070078

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