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ORIGINAL RESEARCH article

Front. Cardiovasc. Med.
Sec. Structural Interventional Cardiology
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1453459

The Detailed Transseptal Technique for Optimal Closure in Patients with Patent Foramen Ovale

Provisionally accepted
Erdoğan İlkay Erdoğan İlkay 1Ersin SARICAM Ersin SARICAM 2,3*Fehmi Kaçmaz Fehmi Kaçmaz 4Aysel Yakıcı Aysel Yakıcı 1Çiğdem Koca Çiğdem Koca 5Ozcan Ozeke Ozcan Ozeke 6Melike Polat Melike Polat 7Bilge Karaduman Bilge Karaduman 6Akif Erdöl Akif Erdöl 6Mehmet Zulkuf Onal Mehmet Zulkuf Onal 1
  • 1 Liv Hospital, Istanbul, Türkiye
  • 2 Medicana Ankara International Hospital, Department of Cardiology, Medicana Hospital, Istanbul, Türkiye
  • 3 Atılım University, Ankara, Ankara, Türkiye
  • 4 Üsküdar University, Üsküdar, Türkiye
  • 5 Yeditepe University Hospital, Istanbul, Türkiye
  • 6 University of Health Sciences (Turkey), Istanbul, Ankara, Türkiye
  • 7 Cardiology Clinic Medicana International, Ankara, Türkiye

The final, formatted version of the article will be published soon.

    Background: Closure of patent foramen ovale (PFO) using transseptal puncture has certain concerns and advantages. Transseptal puncture should be re-evaluated in detail.: We aimed to assess the effectiveness of detailed transseptal puncture technique in the patients who underwent PFO closure due to cryptogenic stroke or transient ischemic attack (TIA) in terms of residual shunts and atrial fibrillation. Methods: We prospectively analyzed 144 consecutive patients with underwent PFO closure by detailed transseptal puncture technique between February 2013 and April 2023 in two centers. All of the patients had > 10 mm tunnel type PFO.The procedural success rate was 100%. However, after the procedure, moderate pericardial effusion developed in one patient (0.7%) and acute pulmonary embolism related to femoral vein thrombosis was observed in one patient (0.7%) during the first month.Complications related to the procedure were noted in two patients (1.4%) during the first month of follow-up. Residual shunts were observed in 1.4% of cases after PFO closure.We demonstrated that the detailed transseptal technique is safe and effective for PFO closure. The detailed transseptal PFO closure significantly reduced the risk of atrial fibrillation, and the occurrence of residual shunts was significantly low following the closure.

    Keywords: patent foramen ovale, Transseptal puncture, residual shunts, Transseptal access, Optimal closure schedule

    Received: 05 Jul 2024; Accepted: 05 Nov 2024.

    Copyright: © 2024 İlkay, SARICAM, Kaçmaz, Yakıcı, Koca, Ozeke, Polat, Karaduman, Erdöl and Onal. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Ersin SARICAM, Medicana Ankara International Hospital, Department of Cardiology, Medicana Hospital, Istanbul, Türkiye

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.