Contemporary Management of Patent Foramen Ovale: A Multinational Survey on Cardiologists’ Perspective
Objectives. The purpose of our survey is to analyze the clinical approach used by interventional and imaging cardiologists to diagnose, treat, and follow-up patients with PFO-related left circulation thromboembolism in different parts of the world with particular emphasis on adherence to current gui...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Interventional Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2021/6955791 |
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| author | Maciej Dębski Amr Abdelrahman Halia Alshehri Marloe Prince Andrew Wiper Shajil Chalil Dariusz Dudek Christopher J. White David Hildick-Smith David H. Roberts |
| author_facet | Maciej Dębski Amr Abdelrahman Halia Alshehri Marloe Prince Andrew Wiper Shajil Chalil Dariusz Dudek Christopher J. White David Hildick-Smith David H. Roberts |
| author_sort | Maciej Dębski |
| collection | DOAJ |
| description | Objectives. The purpose of our survey is to analyze the clinical approach used by interventional and imaging cardiologists to diagnose, treat, and follow-up patients with PFO-related left circulation thromboembolism in different parts of the world with particular emphasis on adherence to current guidelines. Background. Firm guidelines do not cover many aspects of PFO-related patient care. Consequently, very disparate approaches exist among clinicians in the real-world. Methods. A 24-item electronic questionnaire was sent directly to experienced cardiology specialists practicing at consultant/attending positions directly involved in PFO closure management in the United States, United Kingdom, Gulf countries, and other countries. There were no unanswered questions. Responses were recorded between October 2019 and July 2020. Results. Seventy-one responses were obtained: 31 from the UK, 19 from the US, 16 from Gulf countries, 2 from Poland, and 1 response from Australia, Italy, and Switzerland. The overall response rate was 76%. Significant differences between regions were noted in the duration of ECG monitoring during the diagnostic process, PFO closure for left circulation thromboembolism other than stroke/transient ischemic attack, and intraoperative use of intracardiac echocardiography. A similar pattern was noted in the lack of routine screening for thrombophilia and the use of the long-term single antiplatelet therapy. Conclusions. The study shows a vast spectrum of opinions on the optimal approach to PFO closure with significant differences between the US, UK, and Gulf countries. The results stress the need for systematic, high-quality data on the diagnostic work-up and follow-up strategies to inform the standardized approach. |
| format | Article |
| id | doaj-art-988676f3fb99405382e31f2578fa5df7 |
| institution | Kabale University |
| issn | 0896-4327 1540-8183 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Interventional Cardiology |
| spelling | doaj-art-988676f3fb99405382e31f2578fa5df72025-02-03T06:13:25ZengWileyJournal of Interventional Cardiology0896-43271540-81832021-01-01202110.1155/2021/69557916955791Contemporary Management of Patent Foramen Ovale: A Multinational Survey on Cardiologists’ PerspectiveMaciej Dębski0Amr Abdelrahman1Halia Alshehri2Marloe Prince3Andrew Wiper4Shajil Chalil5Dariusz Dudek6Christopher J. White7David Hildick-Smith8David H. Roberts9Lancashire Cardiac Centre, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UKLancashire Cardiac Centre, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UKKing Fahad Medical City, King Salman Heart Center, Riyadh, Saudi ArabiaOchsner Heart and Vascular Institute, Ochsner Medical Center, New Orleans, LA, USALancashire Cardiac Centre, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UKLancashire Cardiac Centre, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UKInstitute of Cardiology, Jagiellonian University Medical College, Krakow, PolandOchsner Heart and Vascular Institute, Ochsner Medical Center, New Orleans, LA, USABrighton & Sussex University Hospitals NHS Trust, Brighton, UKLancashire Cardiac Centre, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UKObjectives. The purpose of our survey is to analyze the clinical approach used by interventional and imaging cardiologists to diagnose, treat, and follow-up patients with PFO-related left circulation thromboembolism in different parts of the world with particular emphasis on adherence to current guidelines. Background. Firm guidelines do not cover many aspects of PFO-related patient care. Consequently, very disparate approaches exist among clinicians in the real-world. Methods. A 24-item electronic questionnaire was sent directly to experienced cardiology specialists practicing at consultant/attending positions directly involved in PFO closure management in the United States, United Kingdom, Gulf countries, and other countries. There were no unanswered questions. Responses were recorded between October 2019 and July 2020. Results. Seventy-one responses were obtained: 31 from the UK, 19 from the US, 16 from Gulf countries, 2 from Poland, and 1 response from Australia, Italy, and Switzerland. The overall response rate was 76%. Significant differences between regions were noted in the duration of ECG monitoring during the diagnostic process, PFO closure for left circulation thromboembolism other than stroke/transient ischemic attack, and intraoperative use of intracardiac echocardiography. A similar pattern was noted in the lack of routine screening for thrombophilia and the use of the long-term single antiplatelet therapy. Conclusions. The study shows a vast spectrum of opinions on the optimal approach to PFO closure with significant differences between the US, UK, and Gulf countries. The results stress the need for systematic, high-quality data on the diagnostic work-up and follow-up strategies to inform the standardized approach.http://dx.doi.org/10.1155/2021/6955791 |
| spellingShingle | Maciej Dębski Amr Abdelrahman Halia Alshehri Marloe Prince Andrew Wiper Shajil Chalil Dariusz Dudek Christopher J. White David Hildick-Smith David H. Roberts Contemporary Management of Patent Foramen Ovale: A Multinational Survey on Cardiologists’ Perspective Journal of Interventional Cardiology |
| title | Contemporary Management of Patent Foramen Ovale: A Multinational Survey on Cardiologists’ Perspective |
| title_full | Contemporary Management of Patent Foramen Ovale: A Multinational Survey on Cardiologists’ Perspective |
| title_fullStr | Contemporary Management of Patent Foramen Ovale: A Multinational Survey on Cardiologists’ Perspective |
| title_full_unstemmed | Contemporary Management of Patent Foramen Ovale: A Multinational Survey on Cardiologists’ Perspective |
| title_short | Contemporary Management of Patent Foramen Ovale: A Multinational Survey on Cardiologists’ Perspective |
| title_sort | contemporary management of patent foramen ovale a multinational survey on cardiologists perspective |
| url | http://dx.doi.org/10.1155/2021/6955791 |
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