13. Percutaneous intervention for structural heart disease

High-risk patent foramen ovale: Closure vs Medical Treatment

DEFENSE-PFO
Objective
to compare the clinical outcomes of PFO closure with medical treatment in patients with cryptogenic stroke and high risk PFO
Study
multicentre, open-label randomised superiority trial
Population
patients with high-risk PFO: atrical septum aneurysm, hypermobility or PFO size ≥2 mm
Endpoints
composite of stroke, vascular death or major bleeding (TIMI) during 2 years follow-up
Conclusion
PFO-closure in patients with high-risk PFO was associated with a lower rate of adverse events compared to medication only
Lee et al. J Am Coll Cardiol. 2018;71:2335-42
Receive our newsletter


The Official Journal of EuroPCR and the European Association of Percutaneous Cardiovascular Interventions (EAPCI)

EuroPCR EAPCI
PCR ESC
Impact factor: 7.6
2023 Journal Citation Reports®
Science Edition (Clarivate Analytics, 2024)
Online ISSN 1969-6213 - Print ISSN 1774-024X
© 2005-2024 Europa Group - All rights reserved