Setting up a multidisciplinary program for management of patent foramen ovale-mediated syndromes.


BACKGROUND:These days no codified multidisciplinary protocol has been reported to manage all the different patent foramen ovale (PFO)-mediated syndromes. We sought to propose a multidisciplinary program of diagnosis, treatment, and follow-up of all PFO-mediated syndromes based on an in-hospital multidisciplinary task force and to review the activities during the first year. METHODS:From September 2004, we organized in our hospital, a 600-bed tertiary hospital, a management program for PFO-mediated syndromes based on a task force composed of cardiologists, neurologists, and internists. Different levels of protocols were created in order to cover diagnosis, treatment, and follow-up of PFO-mediated syndromes. We reviewed the activity of our program in the first year up to September 2005. RESULTS:Thirty-five patients (23 female, mean age 65 +/- 24 years) were evaluated for suspected PFO-mediated syndromes: 20 for cryptogenic stroke, 2 for peripheral and coronary embolisms, 3 for platypnea-orthodeoxia, 9 for emicrania with aura, and 1 with hypoxiemia during neurosurgical intervention in the posterior cranial fossa. Diagnosis of PFO was confirmed in 25 patients. According to the multidisciplinary protocols, 15 patients failed to meet the requirements for transcatheter closure and were left in medical therapy whereas 11 patients (7 patients with PFO, 2 with multiperforated ASD, and 2 with a secundum ASD) underwent transcatheter closure. After a mean follow-up of 10.8 +/- 4.9 months, no recurrent PFO syndromes were noted in patients treated with devices. CONCLUSION:The first year of our multidisciplinary program allowed a reasonable and potentially successful approach for correctly identifying patients with PFO-mediated syndromes until randomized studies are completed.


J Interv Cardiol


Rigatelli G,Braggion G,Chinaglia M,Cardaioli P,Roncon L,Giordan M,Cuppini S,Aggio S,Bortolazzi A,Zonzin P




Has Abstract


2006-06-01 00:00:00














  • Outcomes in Diabetic Patients Undergoing Orbital Atherectomy System.

    abstract:OBJECTIVES:We evaluated the angiographic and clinical outcomes of orbital atherectomy to treat severely calcified coronary lesions in diabetic and non-diabetic patients. BACKGROUND:Diabetics have increased risk for death, myocardial infarction, and target vessel revascularization after percutaneous coronary interventi...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,多中心研究


    authors: Lee MS,Shlofmitz E,Nguyen H,Shlofmitz RA

    更新日期:2016-10-01 00:00:00

  • Percutaneous mechanical thrombectomy for massive pulmonary embolism using a conservative treatment strategy.

    abstract:INTRODUCTION:Percutaneous mechanical thrombectomy (PMT) for treatment of massive pulmonary embolism (PE) has been shown to be technically feasible, although the complication rate of the procedure appears relatively high. Whether a conservative treatment approach defined by an early termination of the PMT procedure once...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Spies C,Khandelwal A,Smith TH,Jolly N,Kavinsky CJ

    更新日期:2008-12-01 00:00:00

  • Long-Term Clinical Outcomes for Non-ST Elevation Acute Coronary Syndrome Patients with High-Risk Angiographic Findings Undergoing Percutaneous Coronary Intervention.

    abstract:Objective:We aim to evaluate the long-term prognosis of non-ST elevation acute coronary syndrome (NSTE-ACS) patients with high-risk coronary anatomy (HRCA). Background:Coronary disease severity is important for therapeutic decision-making and prognostication among patients presenting with NSTE-ACS. However, long-term ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Jia S,Zhang C,Liu Y,Yuan D,Zhao X,Gao R,Yang Y,Xu B,Gao Z,Yuan J

    更新日期:2020-05-07 00:00:00

  • Stent implantation for coarctation in adults.

    abstract::Transcatheter dilatation is considered the elective treatment of residual coarctation. In the presence of native coarctation, dilatation is often effective but in the first months of life, and the risk of aneurysm formation is not low. The use of stents in adolescents and adults provides excellent results and seems to...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Piéchaud JF

    更新日期:2003-10-01 00:00:00

  • Network meta-analysis comparing iFR versus FFR versus coronary angiography to drive coronary revascularization.

    abstract:AIMS:Instantaneous free-wave ratio (iFR) has been recently demonstrated non-inferior to fractional flow reserve (FFR) to drive coronary revascularization; however, no study has compared iFR versus coronary angiography (CA). We performed a network meta-analysis to evaluate efficacy and safety of iFR- versus CA-guided st...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,meta分析


    authors: Verardi R,Fioravanti F,Barbero U,Conrotto F,Omedè P,Montefusco A,Moretti C,D'Amico M,Rinaldi M,Escaned J,D'Ascenzo F

    更新日期:2018-12-01 00:00:00

  • Breakpoint: left main stent fracture--review of the literature.

    abstract::The incidence and morbidity associated with stent fracture are unknown. Recommendations and evidence-based treatment are lacking. We report a case of symptomatic fracture of a sirolimus-eluting stent advancing from the left main into the circumflex coronary artery, forming an acute angle with calcifications at the hin...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,评审


    authors: Tizón-Marcos H,De Larochellière R,Larose E

    更新日期:2009-08-01 00:00:00

  • Relationship between microvascular resistance and perfusion in patients with reperfused acute myocardial infarction.

    abstract:UNLABELLED:Despite its prognostic importance, accurate assessment of microvascular perfusion in patients with ST elevation acute myocardial infarction (STEMI) is difficult. As a new tool, the index of microvascular resistance (IMR) measurement provides us a new opportunity for interrogating microvascular condition afte...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Sezer M,Umman B,Okcular I,Nisanci Y,Umman S

    更新日期:2007-10-01 00:00:00

  • The links between diabetes and cardiovascular disease.

    abstract::The aim of this study was to review current studies relevant to the link between impaired glucose tolerance (IGT), diabetes, and cardiovascular disease. Cardiovascular disease is a major cause of the reduction in life expectancy in patients with diabetes. Seventy-five percent of diabetic patients die prematurely of ca...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,评审


    authors: Schnell O

    更新日期:2005-12-01 00:00:00

  • Long-term safety and effectiveness of drug-eluting stents compared to bare metal stents in ST elevation myocardial infarction: findings from the Guthrie Health Off-label Stent (GHOST) Registry.

    abstract:BACKGROUND:Multiple randomized trials and observational studies have shown drug-eluting stents (DES) to be safe and effective at 3-year follow-up in stent thrombosis (ST)-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PCI). However, outcomes data beyond 3-4 year...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Sattur S,Orshaw P,Boura J,Harjai KJ

    更新日期:2012-04-01 00:00:00

  • Primary angioplasty in a patient with dextrocardia.

    abstract::Dextrocardia is a rare anomaly affecting 0.01% of newborns. We report on a case of a 60-year-old female with mirror-image dextrocardia who presented with an acute myocardial infarction and underwent primary angioplasty of the left circumflex artery. A review of the literature and technical challenges of the case will ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Jauhar R,Gianos E,Baqai K,Roethel M,Kaplan BM

    更新日期:2005-04-01 00:00:00

  • Immediate and long-term outcome of recanalization of chronic total coronary occlusions.

    abstract::Eighty-three consecutive patients with 85 coronary total occlusions undergoing coronary angioplasty were retrospectively studied. Patients were divided into two groups according to the occlusion age that was < 30 days (subacute total occlusion [STO]: 25 patients; range 1-30 days) or > 30 days (chronic total occlusion ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Piscione F,Galasso G,Maione AG,Pisani A,Golino P,Leosco D,Indolfi C,Chiariello M

    更新日期:2002-06-01 00:00:00

  • Aspiration thrombectomy during primary percutaneous coronary intervention as adjunctive therapy to early (in-ambulance) abciximab administration in patients with acute ST elevation myocardial infarction: an analysis from Leiden MISSION! acute myocardial i

    abstract:BACKGROUND:The benefits of early abciximab administration and thrombus aspiration in ST elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PPCI) have previously been elaborated. However, whether there is an adjunctive effect of thrombus aspiration among STEMI patient...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Ahmed TA,Atary JZ,Wolterbeek R,Hasan-Ali H,Abdel-Kader SS,Schalij MJ,Jukema JW

    更新日期:2012-02-01 00:00:00

  • Long-term outcome of patients with severe biventricular heart failure and severe mitral regurgitation after percutaneous edge-to-edge mitral valve repair.

    abstract:OBJECTIVE:To assess long-term outcome and parameters associated with poor and favorable outcome in patients with a left ventricular ejection fraction (LV-EF) ≤25% and severe mitral regurgitation (MR) after percutaneous edge-to-edge mitral valve repair (pMVR). BACKGROUND:There is no data on long-term outcome in this co...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Orban M,Braun D,Orban M,Grebmer C,Sibbing D,Thaler R,Tittus J,Wimbauer F,Lesevic H,Sonne C,Mehilli J,Ott I,Näbauer M,Massberg S,Boekstegers P,Hausleiter J

    更新日期:2015-04-01 00:00:00

  • Drug-Coated Balloons: A Safe and Effective Alternative to Drug-Eluting Stents in Small Vessel Coronary Artery Disease.

    abstract:BACKGROUND:Drug-coated balloons (DCB) have been used to treat de novo small vessel coronary disease (SVD), with promising results and shorter dual antiplatelet therapy (DAPT) duration compared to drug-eluting stents (DES). We compared safety and effectiveness of the two treatments at 1 year. METHODS:We reviewed 3,613 ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Sinaga DA,Ho HH,Watson TJ,Sim A,Nyein TT,Jafary FH,Loh JK,Ooi YW,Tan JK,Ong PJ

    更新日期:2016-10-01 00:00:00

  • Transradial Coronary Angiography--Insights to the One-Catheter Concept.

    abstract::Transradial coronary angiography (TRC) can be performed applying only one catheter fitting into the right and left coronary ostia (R/LCO). In this bicentric study (n = 2953), we analyzed the ostial performance of the Tiger_II_catheter widely used in TRC. Compared to Judkins catheters, the Tiger_II is frequently associ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Langer C,Riehle J,Frey N,Wiemer M

    更新日期:2016-02-01 00:00:00

  • Holmium YAG laser coronary angioplasty with multifiber catheters.

    abstract::Excimer lasers are being extensively used for coronary angioplasty along with multifiber over-the-wire catheters. To determine whether another wavelength could be an alternative, the laser-tissue interaction and the clinical usefulness of an infrared laser were studied. The laser consisted of a Holmium YAG pulsed la...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Geschwind HJ,Tomaru T,Nakamura F,Kvasnicka J

    更新日期:1991-01-01 00:00:00

  • Interventional occlusion of congenital vascular malformations with the detachable Cook coil system.

    abstract:INTRODUCTION:Nonsurgical closure of pathologic vascular communications can be achieved by coil embolization. Different systems used in patients with congenital heart disease (e.g., patent ductus arteriosus) allow controlled release of the devices. However, they are too stiff for coil occlusion of small or tortuous vess...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Sieverding L,Breuer J

    更新日期:2001-06-01 00:00:00

  • Long-term clinical and angiographic follow-up after placement of Palmaz-Schatz coronary stent: a single center experience.

    abstract::The purpose of this study is to evaluate long-term clinical and angiographic follow-up results after placement of the Palmaz-Schatz stent and angiographic follow-up results of repeat interventions for stent restenosis. From June 1990 to September 1993, the Palmaz-Schatz stent was placed in 411 patients, 427 lesions. ...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Kimura T,Tamura T,Yokoi H,Nobuyoshi M

    更新日期:1994-04-01 00:00:00

  • Cutting balloon for in-stent restenosis: acute and long-term results.

    abstract:INTRODUCTION:Conventional percutaneous coronary intervention for the treatment of in-stent restenosis (ISR) has shown a high rate of ISR (30-55%). Considering the need for both extrusion of hyperplastic intima and additional stent expansion, a cutting balloon might be more effective for the treatment of ISR. METHODS:W...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Rahel BM,Suttorp MJ,ten Berg JM,Bal ET,Ernst SM,Rensing BJ,Kelder JC,Plokker HW

    更新日期:2004-08-01 00:00:00

  • Transcatheter closure of atrial septal defects in adults > or =40 years of age: immediate and follow-up results.

    abstract:BACKGROUND:Controversy still exists regarding closure of atrial septal defects (ASDs) in patients >40 years of age who are largely asymptomatic or do not have large shunts (LS). If left unrepaired, the majority of patients will experience symptoms and will have a shorter life span compared to patients who undergo repai...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Patel A,Lopez K,Banerjee A,Joseph A,Cao QL,Hijazi ZM

    更新日期:2007-02-01 00:00:00

  • Transcatheter Atrial Septal Defect Closure in Children with and without Fluoroscopy: A Comparison.

    abstract:Objective:The aim of this study was to compare feasibility, effectiveness, safety, and outcome of atrial septal defect (ASD) device closure in children with and without fluoroscopy guidance. Methods and Results:Children undergoing transcatheter ASD closure between 2002 and 2016 were included into this single center, r...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Ackermann S,Quandt D,Hagenbuch N,Niesse O,Christmann M,Knirsch W,Kretschmar O

    更新日期:2019-04-07 00:00:00

  • Usefulness of embolic protection devices during saphenous vein graft intervention in a nonselected population.

    abstract::Distal embolic protection devices have been shown to reduce the risk of peri-procedural complications associated with saphenous vein graft intervention. However, there are several important anatomic limitations that may preclude routine device use. We analyzed the angiograms of 624 consecutive saphenous vein graft int...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Webb LA,Dixon SR,Safian RD,O'Neill WW

    更新日期:2005-04-01 00:00:00

  • Intracoronary beta-radiation therapy for in-stent restenosis: long-term success rate and prediction of failure.

    abstract:OBJECTIVE:The following retrospective observational study assesses the long-term results of intracoronary beta-radiation therapy for patients with in-stent restenosis. BACKGROUND:Beta-radiation has been used to treat patients with coronary in-stent restenosis. However, long-term clinical success using this technique h...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Vlachojannis GJ,Fichtlscherer S,Spyridopoulos I,Auch-Schwelk W,Schopohl B,Zeiher AM,Schächinger V

    更新日期:2010-02-01 00:00:00

  • A randomized trial of 5 versus 7 French guiding catheters for transfemoral percutaneous coronary stent implantation.

    abstract::Comparative studies between 5 French guiding catheter and others of larger size using the transfemoral approach to coronary stenting have not been described. Coronary stent implantation was performed in 90 patients in a randomized trial. The primary end-point was to compare the incidence of successful uncomplicated st...

    journal_title:Journal of interventional cardiology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Büchler JR,Ribeiro EE,Falcão JL,Martinez EE,Büchler RD,Feres F,Maielo JR,Haddad N,Ramires JF,Ellis SG

    更新日期:2008-02-01 00:00:00

  • A hybrid surgical transcatheter strategy for treating severe para-right atrioventricular valvular regurgitation in a patient with left atrial isomerism.

    abstract::Paravalvular leaks are a recognized complication of valve replacement surgery. We report a 47-year-old man with left atrial isomerism, interrupted left sided inferior caval vein with unilateral left sided superior caval vein, a common atrium, and anomalous pulmonary venous connection to the coronary sinus, who had rec...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Kalantre A,Vettukattil J,Haw M,Veldtman GR

    更新日期:2007-12-01 00:00:00

  • (Meta)-analysis of safety and efficacy following edge-to-edge mitral valve repair using the MitraClip system.

    abstract:OBJECTIVES:The authors investigated safety and efficacy of the MitraClip-System (MCS) using a systematic analysis. BACKGROUND:The safety and efficacy of the MCS continues to be debated, and randomized trials are still lacking. METHOD:A systematic literature search was conducted using common medical and scientific dat...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章,meta分析,评审


    authors: Bail DH

    更新日期:2015-02-01 00:00:00

  • Transcatheter aortic valve-in-valve implantation in failed stentless bioprostheses.

    abstract:OBJECTIVE:To compare the safety and efficacy of transcathether aortic valve-in-valve implantation (ViV-TAVI) in degenerated stentless bioprostheses with failed stented valves and degenerated native aortic valves. INTRODUCTION:Little is known about ViV-TAVI in degenerated stentless valves. METHODS:Out of 45 ViV-TAVI p...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Huczek Z,Grodecki K,Scisło P,Wilczek K,Jagielak D,Fil W,Kubler P,Olszówka P,Dąbrowski M,Frank M,Grygier M,Kidawa M,Wilimski R,Żelazowska K,Witkowski A,Kochman J,Zembala M,Opolski G,Dvir D,Wojakowski W

    更新日期:2018-12-01 00:00:00

  • A novel 3-d reconstruction system for the assessment of bifurcation lesions treated by the mini-crush technique.

    abstract:BACKGROUND:Conventional two-dimensional angiography lacks the ability to properly image the true bifurcation geometry, and its percutaneous coronary intervention-induced changes in the clinical setting. METHODS AND RESULTS:A novel three-dimensional reconstruction system was investigated by retrospectively analyzing 39...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Galassi AR,Tomasello SD,Capodanno D,Seminara D,Canonico L,Occhipinti M,Tamburino C

    更新日期:2010-02-01 00:00:00

  • Comparison of three treatment strategies for patients with triple-vessel coronary disease and left ventricular dysfunction.

    abstract:INTRODUCTION:Current guidelines recommend coronary artery bypass grafting (CABG) for patients with multivessel coronary disease and left ventricular (LV) dysfunction. However, some patients undergo percutaneous coronary intervention (PCI) or solely medical therapy (MT) in actual practice. The comparison of long-term ou...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Jiang L,Xu L,Song L,Gao Z,Tian J,Sun K,Yu H,Xu B,Song L,Yuan J

    更新日期:2018-06-01 00:00:00

  • Safety and efficacy of percutaneous intramyocardial bone marrow cell injection for chronic myocardial ischemia: Long-term results.

    abstract:BACKGROUND:Intramyocardial injection of bone marrow cells (BMC) in refractory angina patients with chronic myocardial ischemia has shown to be safe and improve clinical status during short-term follow-up. However, scarce data are available on long-term (>12 months) safety and efficacy. Therefore, the occurrence of clin...

    journal_title:Journal of interventional cardiology

    pub_type: 杂志文章


    authors: Rodrigo SF,Mann I,van Ramshorst J,Beeres SL,Zwaginga JJ,Fibbe WE,Bax JJ,Schalij MJ,Atsma DE

    更新日期:2017-10-01 00:00:00