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Patent Foramen Ovale (PFO) Closure From Strokes to Migraines ...

Patent Foramen Ovale (PFO) Closure From Strokes to Migraines ...

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The PREMIUM Trial<br />

A Randomized Double Blind Trial of <strong>PFO</strong> <strong>Closure</strong><br />

for Disabling Migraine Headaches (6-14 days/mo)<br />

230 patients with migraine ± aura<br />

assess for <strong>PFO</strong> with TCD, if +, TTE<br />

randomize<br />

Usual HA Rx +<br />

ASA & Plavix +<br />

Sham Procedure<br />

Usual HA Rx +<br />

ASA & Plavix +<br />

<strong>PFO</strong> <strong>Closure</strong><br />

Recent approval by FDA of less restrictive entry criteria<br />

And control patients can have <strong>PFO</strong> closure after 1 year.<br />

Monday, December 7, 2009

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