Safety and feasibility of day case patent foramen ovale (PFO) closure facilitated by intracardiac echocardiography.
Francis A Ponnuthurai, William J van Gaal, Amy Burchell, Andrew R Mitchell, Neil Wilson, Oliver J Ormerod
Int J Cardiol | Published : 2009
Ultrasound guided patent foramen ovale (PFO) closure has traditionally utilized transoesophageal echocardiography (TOE) under general anaesthesia. Some centres use fluoroscopic guidance alone to facilitate day case PFO closure. Intracardiac echocardiography (ICE) is performed via femoral vein access using an 11 Fr sheath providing accurate guidance without the necessity for general anaesthesia. The safety and feasibility of PFO closure using ICE guidance as a day case procedure have not been documented. We present a consecutive series of patients undergoing planned day case PFO closure under ICE guidance with transthoracic echocardiogram (TTE) follow up. Patients excluded from day case PFO c..View full abstract