Physiological Monitoring and Preparation of the Sterile Equipment
1:19
Venous Puncture, Catheter Introduction, and Invasive Arterial Pressure Measurement
2:55
Introduction of the TEE Probe and Wire Passage Through the PFO
3:44
Heparin Application and Measurement of the Left Atrial Pressure (LAP)
4:29
Advancing into the Left Atrium, TEE‐Guided Balloon Sizing of the PFO, and Occluder Selection
5:51
Introduction of the Device Delivery System
6:51
Deployment of the PFO Occluder
8:11
Evaluation of the Correct Device Position
8:54
Sealing of the Puncture, Applying Pressure Bandage, and Post‐Intervention Care
9:40
Results: The Interventional Closure of a Patent Foramen Ovale (PFO)
10:23
Conclusion
Transcrição
This protocol helps to learn all the steps for the standardized procedure for interventional closure of the PFO. We show a standardized technique that is safe and feasible and allows to close nearly every PFO. To begin, establish a peripheral veno
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The closure of a patent foramen ovale (PFO) is a catheter-based intervention to prevent PFO-associated stroke. The PFO-occlusion device is advanced through the femoral vein and deployed across the interatrial septum using transesophageal echocardiography (TEE) and fluoroscopic guidance. The following protocol provides a step-by-step guide for the PFO-closure intervention using a double-disc device.