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卵圆孔未闭:尚未解决的问题。

Patent Foramen Ovale: The Unresolved Questions.

作者信息

Forzano Imma, Santulli Gaetano

机构信息

Department of Advanced Biomedical Sciences, Division of Cardiology, "Federico II" University, International Translational Research and Medical Education (ITME) Consortium, Academic Research Unit, 80131, Naples, Italy.

Department of Medicine (Division of Cardiology), Wilf Family Cardiovascular Research Institute, Albert Einstein College of Medicine, New York City, 10461, NY.

出版信息

Top Ital Sci J. 2024 Mar;1(2). doi: 10.62684/DMFZ6956. Epub 2024 Mar 5.

DOI:10.62684/DMFZ6956
PMID:38585657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10995646/
Abstract

Patent Foramen Ovale (PFO) is a remnant of fetal circulation that could be observed in the 25% of the population worldwide. PFO is associated to numerous clinical conditions as migraines, coronary embolization, transient ischemic attacks, and stroke. The main PFO concerns are related to its correlation to stroke, in particular in young adults. Despite the impact on morbidity that PFO could have, to date there is not clear evidence about its management and treatment. In this narrative review our aim is to summarize the more recent evidence in the literature dealing with PFO, in order to provide an updated overview on this topic.

摘要

卵圆孔未闭(PFO)是胎儿循环的残留物,全球25%的人口中可观察到。PFO与多种临床病症相关,如偏头痛、冠状动脉栓塞、短暂性脑缺血发作和中风。PFO主要关注点与其和中风的关联有关,尤其是在年轻人中。尽管PFO可能对发病率有影响,但迄今为止,关于其管理和治疗尚无明确证据。在这篇叙述性综述中,我们的目的是总结文献中关于PFO的最新证据,以便提供关于该主题的最新概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/10995646/568efb157b7a/nihms-1980288-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/10995646/20814d213907/nihms-1980288-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/10995646/568efb157b7a/nihms-1980288-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/10995646/20814d213907/nihms-1980288-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/10995646/568efb157b7a/nihms-1980288-f0002.jpg

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1
Patent Foramen Ovale: The Unresolved Questions.卵圆孔未闭:尚未解决的问题。
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引用本文的文献

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Diffusion tensor image analysis along the perivascular space index and visual analogue scales in female patients with patent foramen ovale and migraine perform better after percutaneous closure.卵圆孔未闭和偏头痛女性患者中,沿血管周围间隙指数和视觉模拟量表进行的扩散张量图像分析在经皮封堵术后表现更佳。
Quant Imaging Med Surg. 2025 Aug 1;15(8):6969-6980. doi: 10.21037/qims-2025-265. Epub 2025 Jul 30.
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A Detailed Systematic Review Comparing Patent Foramen Ovale Closure vs Medical Therapy for the Prevention of Recurrent Cryptogenic Stroke.一项比较卵圆孔未闭封堵术与药物治疗预防复发性隐源性卒中的详细系统评价。
Cureus. 2024 Jul 29;16(7):e65632. doi: 10.7759/cureus.65632. eCollection 2024 Jul.

本文引用的文献

1
Patent Foramen Ovale Percutaneous Closure: Evolution and Ongoing Challenges.卵圆孔未闭的经皮封堵术:进展与持续挑战
J Clin Med. 2023 Dec 21;13(1):54. doi: 10.3390/jcm13010054.
2
Patent Foramen Ovale Management for Secondary Stroke Prevention: State-of-the-Art Appraisal of Current Evidence.卵圆孔未闭管理用于二级卒中预防:当前证据的最新评价。
Stroke. 2024 Jan;55(1):236-247. doi: 10.1161/STROKEAHA.123.040546. Epub 2023 Nov 21.
3
Clinical Outcomes and Quality of Life after Patent Foramen Ovale (PFO) Closure in Patients with Stroke/Transient Ischemic Attack of Undetermined Cause and Other PFO-Associated Clinical Conditions: A Single-Center Experience.
不明原因卒中/短暂性脑缺血发作及其他卵圆孔未闭相关临床病症患者行卵圆孔未闭封堵术后的临床结局及生活质量:单中心经验
J Clin Med. 2023 Sep 5;12(18):5788. doi: 10.3390/jcm12185788.
4
Comparative evaluation of intracardiac, transesophageal, and transthoracic echocardiography in the assessment of patent foramen ovale: A retrospective single-center study.经胸、经食管及心内超声心动图评估卵圆孔未闭的比较性评价:一项回顾性单中心研究
Catheter Cardiovasc Interv. 2023 Dec;102(7):1348-1356. doi: 10.1002/ccd.30825. Epub 2023 Sep 8.
5
Left atrial disc device thrombosis after atrial defect closure with the Gore® Cardioform septal occluder: A case series.经戈尔®心耳部间隔封堵器闭合房间隔缺损后发生左心房盘状装置血栓:病例系列。
Catheter Cardiovasc Interv. 2023 Aug;102(2):359-363. doi: 10.1002/ccd.30747. Epub 2023 Jun 14.
6
Noblestitch® system for PFO closure: A novel but judicious alternative to traditional devices-A case report.用于卵圆孔未闭封堵的Noblestitch®系统:一种新型但明智的传统器械替代方案——病例报告
Front Cardiovasc Med. 2023 Mar 30;10:1095661. doi: 10.3389/fcvm.2023.1095661. eCollection 2023.
7
Supraventricular Arrhythmia Following Patent Foramen Ovale Percutaneous Closure.卵圆孔未闭经皮封堵术后并发房性心律失常。
JACC Cardiovasc Interv. 2022 Nov 28;15(22):2315-2322. doi: 10.1016/j.jcin.2022.07.044. Epub 2022 Aug 22.
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Diagnostic Accuracy of Transthoracic Echocardiography With Contrast for Detection of Right-to-Left Shunt: A Systematic Review and Meta-analysis.经胸超声心动图造影检测右向左分流的诊断准确性:一项系统评价和荟萃分析。
Can J Cardiol. 2022 Dec;38(12):1948-1958. doi: 10.1016/j.cjca.2022.08.007. Epub 2022 Aug 20.
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Migraine in Patients Undergoing PFO Closure: Characterization of a Platelet-Associated Pathophysiological Mechanism: The LEARNER Study.卵圆孔未闭封堵患者的偏头痛:血小板相关病理生理机制的特征:LEARNER研究
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Heterogeneity of Treatment Effects in an Analysis of Pooled Individual Patient Data From Randomized Trials of Device Closure of Patent Foramen Ovale After Stroke.对随机试验中设备闭合卒中后卵圆孔未闭的个体患者数据进行汇总分析,发现治疗效果存在异质性。
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