Transcatheter closure of the patent foramen ovale in children: intermediate-term follow-up results
The patent foramen ovale is almost a normal anatomical hole between the atria with ~30% incidence in the general population. It has been suggested that the patent foramen ovale is the cause of some neurological events, which is explained by paradoxical embolism. Transcatheter closure of the patent f...
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| Veröffentlicht in: | Cardiology in the young 2017-10, Vol.27 (8), p.1545-1549 |
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| container_title | Cardiology in the young |
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| creator | Sel, Kutay Aykan, Hakan H. Duman, Derya Aypar, Ebru Özkutlu, Süheyla Alehan, Dursun Karagöz, Tevfik |
| description | The patent foramen ovale is almost a normal anatomical hole between the atria with ~30% incidence in the general population. It has been suggested that the patent foramen ovale is the cause of some neurological events, which is explained by paradoxical embolism. Transcatheter closure of the patent foramen ovale is a common procedure in adult patients with cerebral ischaemic events, but there are limited data investigating the results in children. Between January, 2005 and February, 2014, 17 patients’ patent foramen ovales were closed by the transcatheter approach in our department. The indications for closure were transient ischaemic attack in 10 patients, stroke in four patients, and migraine in three patients. The mean age and mean weight at the time of the procedure were 11.1±3.7 years and 42.1±15.4 kg, respectively. We asked our patients whether their previous ailments continued. All patients responded to the study survey. In 15 patients, ailments did not continue after patent foramen ovale closure and they significantly decreased in two of them. We suggest that under the right conditions device closure of the patent foramen ovale is a safe solution for these cryptogenic ischaemic events and migraine. |
| doi_str_mv | 10.1017/S1047951117000725 |
| format | Article |
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It has been suggested that the patent foramen ovale is the cause of some neurological events, which is explained by paradoxical embolism. Transcatheter closure of the patent foramen ovale is a common procedure in adult patients with cerebral ischaemic events, but there are limited data investigating the results in children. Between January, 2005 and February, 2014, 17 patients’ patent foramen ovales were closed by the transcatheter approach in our department. The indications for closure were transient ischaemic attack in 10 patients, stroke in four patients, and migraine in three patients. The mean age and mean weight at the time of the procedure were 11.1±3.7 years and 42.1±15.4 kg, respectively. We asked our patients whether their previous ailments continued. All patients responded to the study survey. In 15 patients, ailments did not continue after patent foramen ovale closure and they significantly decreased in two of them. We suggest that under the right conditions device closure of the patent foramen ovale is a safe solution for these cryptogenic ischaemic events and migraine.</description><identifier>ISSN: 1047-9511</identifier><identifier>EISSN: 1467-1107</identifier><identifier>DOI: 10.1017/S1047951117000725</identifier><identifier>PMID: 28460651</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Aneurysms ; Atria ; Cardiac Catheterization - methods ; Cardiology ; Child ; Child, Preschool ; Children ; Echocardiography, Transesophageal ; Electrocardiography, Ambulatory ; Embolism ; Female ; Follow-Up Studies ; Foramen Ovale, Patent - complications ; Foramen Ovale, Patent - diagnosis ; Foramen Ovale, Patent - surgery ; Forecasting ; Headache ; Headaches ; Humans ; Incidence ; Intracranial Embolism - diagnosis ; Intracranial Embolism - epidemiology ; Intracranial Embolism - etiology ; Male ; Medical records ; Migraine ; Original Articles ; Patients ; Pediatrics ; Retrospective Studies ; Stroke ; Transient ischemic attack ; Turkey - epidemiology ; Ultrasonography, Doppler, Transcranial ; University faculty</subject><ispartof>Cardiology in the young, 2017-10, Vol.27 (8), p.1545-1549</ispartof><rights>Cambridge University Press 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-78b7ab4525f7f20ef05fd4e4564bcd5fce54190fb13b4bcba19daeabd2a541be3</citedby><cites>FETCH-LOGICAL-c373t-78b7ab4525f7f20ef05fd4e4564bcd5fce54190fb13b4bcba19daeabd2a541be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1047951117000725/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,315,781,785,27929,27930,55633</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28460651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sel, Kutay</creatorcontrib><creatorcontrib>Aykan, Hakan H.</creatorcontrib><creatorcontrib>Duman, Derya</creatorcontrib><creatorcontrib>Aypar, Ebru</creatorcontrib><creatorcontrib>Özkutlu, Süheyla</creatorcontrib><creatorcontrib>Alehan, Dursun</creatorcontrib><creatorcontrib>Karagöz, Tevfik</creatorcontrib><title>Transcatheter closure of the patent foramen ovale in children: intermediate-term follow-up results</title><title>Cardiology in the young</title><addtitle>Cardiol Young</addtitle><description>The patent foramen ovale is almost a normal anatomical hole between the atria with ~30% incidence in the general population. It has been suggested that the patent foramen ovale is the cause of some neurological events, which is explained by paradoxical embolism. Transcatheter closure of the patent foramen ovale is a common procedure in adult patients with cerebral ischaemic events, but there are limited data investigating the results in children. Between January, 2005 and February, 2014, 17 patients’ patent foramen ovales were closed by the transcatheter approach in our department. The indications for closure were transient ischaemic attack in 10 patients, stroke in four patients, and migraine in three patients. The mean age and mean weight at the time of the procedure were 11.1±3.7 years and 42.1±15.4 kg, respectively. We asked our patients whether their previous ailments continued. All patients responded to the study survey. In 15 patients, ailments did not continue after patent foramen ovale closure and they significantly decreased in two of them. We suggest that under the right conditions device closure of the patent foramen ovale is a safe solution for these cryptogenic ischaemic events and migraine.</description><subject>Adolescent</subject><subject>Aneurysms</subject><subject>Atria</subject><subject>Cardiac Catheterization - methods</subject><subject>Cardiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Echocardiography, Transesophageal</subject><subject>Electrocardiography, Ambulatory</subject><subject>Embolism</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Foramen Ovale, Patent - complications</subject><subject>Foramen Ovale, Patent - diagnosis</subject><subject>Foramen Ovale, Patent - surgery</subject><subject>Forecasting</subject><subject>Headache</subject><subject>Headaches</subject><subject>Humans</subject><subject>Incidence</subject><subject>Intracranial Embolism - diagnosis</subject><subject>Intracranial Embolism - epidemiology</subject><subject>Intracranial Embolism - etiology</subject><subject>Male</subject><subject>Medical records</subject><subject>Migraine</subject><subject>Original Articles</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Stroke</subject><subject>Transient ischemic attack</subject><subject>Turkey - epidemiology</subject><subject>Ultrasonography, Doppler, Transcranial</subject><subject>University faculty</subject><issn>1047-9511</issn><issn>1467-1107</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU9LxDAQxYMo7rr6AbxIwIuXaqZJmq03Ef-B4EE9l6SdaCVt1qRV_PZm2VVE8ZTJvN97CTOE7AM7Bgbq5B6YUKUEAMUYU7ncIFMQhcoAmNpMdZKzpT4hOzG-MAacA9smk3wuClZImBLzEHQfaz0844CB1s7HMSD1lqYOXegB-4FaH3SHPfVv2iFte1o_t64J2J-mS7J12LSJzJZlgp3z79m4oAHj6Ia4S7asdhH31ueMPF5ePJxfZ7d3VzfnZ7dZzRUfMjU3Shshc2mVzRlaJm0jUMhCmLqRtkYpoGTWADepYzSUjUZtmlwnwSCfkaNV7iL41xHjUHVtrNE53aMfYwXzMqUzOS8SevgLffFj6NPvKiiF4HnJQSYKVlQdfIwBbbUIbafDRwWsWi6g-rOA5DlYJ48mjeXb8TXxBPB1qO5MaJsn_PH2v7GfsWKRIw</recordid><startdate>201710</startdate><enddate>201710</enddate><creator>Sel, Kutay</creator><creator>Aykan, Hakan H.</creator><creator>Duman, Derya</creator><creator>Aypar, Ebru</creator><creator>Özkutlu, Süheyla</creator><creator>Alehan, Dursun</creator><creator>Karagöz, Tevfik</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201710</creationdate><title>Transcatheter closure of the patent foramen ovale in children: intermediate-term follow-up results</title><author>Sel, Kutay ; Aykan, Hakan H. ; Duman, Derya ; Aypar, Ebru ; Özkutlu, Süheyla ; Alehan, Dursun ; Karagöz, Tevfik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-78b7ab4525f7f20ef05fd4e4564bcd5fce54190fb13b4bcba19daeabd2a541be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Aneurysms</topic><topic>Atria</topic><topic>Cardiac Catheterization - methods</topic><topic>Cardiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Echocardiography, Transesophageal</topic><topic>Electrocardiography, Ambulatory</topic><topic>Embolism</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Foramen Ovale, Patent - complications</topic><topic>Foramen Ovale, Patent - diagnosis</topic><topic>Foramen Ovale, Patent - surgery</topic><topic>Forecasting</topic><topic>Headache</topic><topic>Headaches</topic><topic>Humans</topic><topic>Incidence</topic><topic>Intracranial Embolism - diagnosis</topic><topic>Intracranial Embolism - epidemiology</topic><topic>Intracranial Embolism - etiology</topic><topic>Male</topic><topic>Medical records</topic><topic>Migraine</topic><topic>Original Articles</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Stroke</topic><topic>Transient ischemic attack</topic><topic>Turkey - epidemiology</topic><topic>Ultrasonography, Doppler, Transcranial</topic><topic>University faculty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sel, Kutay</creatorcontrib><creatorcontrib>Aykan, Hakan H.</creatorcontrib><creatorcontrib>Duman, Derya</creatorcontrib><creatorcontrib>Aypar, Ebru</creatorcontrib><creatorcontrib>Özkutlu, Süheyla</creatorcontrib><creatorcontrib>Alehan, Dursun</creatorcontrib><creatorcontrib>Karagöz, Tevfik</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiology in the young</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sel, Kutay</au><au>Aykan, Hakan H.</au><au>Duman, Derya</au><au>Aypar, Ebru</au><au>Özkutlu, Süheyla</au><au>Alehan, Dursun</au><au>Karagöz, Tevfik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcatheter closure of the patent foramen ovale in children: intermediate-term follow-up results</atitle><jtitle>Cardiology in the young</jtitle><addtitle>Cardiol Young</addtitle><date>2017-10</date><risdate>2017</risdate><volume>27</volume><issue>8</issue><spage>1545</spage><epage>1549</epage><pages>1545-1549</pages><issn>1047-9511</issn><eissn>1467-1107</eissn><abstract>The patent foramen ovale is almost a normal anatomical hole between the atria with ~30% incidence in the general population. It has been suggested that the patent foramen ovale is the cause of some neurological events, which is explained by paradoxical embolism. Transcatheter closure of the patent foramen ovale is a common procedure in adult patients with cerebral ischaemic events, but there are limited data investigating the results in children. Between January, 2005 and February, 2014, 17 patients’ patent foramen ovales were closed by the transcatheter approach in our department. The indications for closure were transient ischaemic attack in 10 patients, stroke in four patients, and migraine in three patients. The mean age and mean weight at the time of the procedure were 11.1±3.7 years and 42.1±15.4 kg, respectively. We asked our patients whether their previous ailments continued. All patients responded to the study survey. In 15 patients, ailments did not continue after patent foramen ovale closure and they significantly decreased in two of them. We suggest that under the right conditions device closure of the patent foramen ovale is a safe solution for these cryptogenic ischaemic events and migraine.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>28460651</pmid><doi>10.1017/S1047951117000725</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Aneurysms Atria Cardiac Catheterization - methods Cardiology Child Child, Preschool Children Echocardiography, Transesophageal Electrocardiography, Ambulatory Embolism Female Follow-Up Studies Foramen Ovale, Patent - complications Foramen Ovale, Patent - diagnosis Foramen Ovale, Patent - surgery Forecasting Headache Headaches Humans Incidence Intracranial Embolism - diagnosis Intracranial Embolism - epidemiology Intracranial Embolism - etiology Male Medical records Migraine Original Articles Patients Pediatrics Retrospective Studies Stroke Transient ischemic attack Turkey - epidemiology Ultrasonography, Doppler, Transcranial University faculty |
| title | Transcatheter closure of the patent foramen ovale in children: intermediate-term follow-up results |
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