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SCAI expert consensus statement on operator and institutional requirements for PFO closure for secondary prevention of paradoxical embolic stroke: The American Academy of Neurology affirms the value of this statement as an educational tool for neurologist

TitleSCAI expert consensus statement on operator and institutional requirements for PFO closure for secondary prevention of paradoxical embolic stroke: The American Academy of Neurology affirms the value of this statement as an educational tool for neurologist
Publication TypeJournal Article
Year of Publication2019
AuthorsHorlick E, Kavinsky CJ, Amin Z, Boudoulas KDean, Carroll JD, Hijazi ZM, Leifer D, Lutsep HL, Rhodes JF, Tobis JM
JournalCatheter Cardiovasc Interv
Volume93
Issue5
Pagination859-874
Date Published2019 04 01
ISSN1522-726X
KeywordsCardiac Catheterization, Clinical Decision-Making, Consensus, Education, Medical, Graduate, Embolism, Paradoxical, Evidence-Based Medicine, Foramen Ovale, Patent, Humans, Neurologists, Patient Safety, Recurrence, Risk Factors, Secondary Prevention, Stroke, Treatment Outcome
Abstract

Until recently, evidence to support Patent Foramen Ovale (PFO) closure for secondary prevention of recurrent stroke has been controversial. Publication of high-quality evidence from randomized clinical trials and the subsequent FDA approval of two devices for percutaneous PFO closure is expected to increase the volume of PFO closure procedures not only in the United States but worldwide. As this technology is disseminated broadly to the public, ensuring the safe and efficacious performance of PFO closure is essential to mitigate risk and avoid unnecessary procedures. This document, prepared by a multi-disciplinary writing group convened by the Society for Cardiovascular Angiography and Interventions and including representatives from the American Academy of Neurology, makes recommendations for institutional infrastructure and individual skills necessary to initiate and maintain an active PFO/stroke program, with emphasis on shared decision making and patient-centered care.

DOI10.1002/ccd.28111
Alternate JournalCatheter Cardiovasc Interv
PubMed ID30896894

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