-Diagnosis of a PFO -New devices for PFO closure

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You can exclude aPFO by transcranialdoppler …… but you can notdiagnose it!
Why no diagnosis of PFOby transcranial doppler?• TCD is unable to locate the source ofthe right-to left shunt- PFO or ASD or intrapulmonary shunt?• However, TCD and TTE in combinationcan detect a PFO accurate and reliablein comparison to TEE ** Souteyrand,G et al. Eur J Echocardiography 2006; 7: 147- 154
Page 1 and 2: The 3rd international meeting of Pe
Page 3 and 4: Role of Echo:How to diagnose a PFO
Page 5 and 6: Diagnosis of PFO• TEE Transesopha
Page 7 and 8: Diagnosis PFOTTE
Page 9: Transcranial Doppler→ significant
Page 13 and 14: The ideal PFO approach• For diagn
Page 15 and 16: Intrapulmonary ShuntingContrast via
Page 17 and 18: Anatomy and MorphologyWhich informa
Page 19 and 20: Typical PFO
Page 21 and 22: Rim assessment in 2DTEEsuperiorLAAV
Page 23 and 24: Role of Echo:How to diagnose a PFO
Page 25 and 26: Injection via cubital vein + Valsal
Page 27 and 28: Sensitivity for Detection of PFOA d
Page 29 and 30: Septal AneurysmBase diameterAneurys
Page 31 and 32: What's that?Large Eustachian Valve
Page 33 and 34: How to close aPFO?
Page 35 and 36: Most frequently used PFO devicesAmp
Page 37 and 38: Solysafe ® (Carag)• Self-centeri
Page 40 and 41: New developments• New double- dis
Page 42 and 43: The Spider TM PFOOccluder• Self-e
Page 44 and 45: CoherexDesigned to "Stent" the PFO
Page 46 and 47: Coherex• PFO closure from inside
Page 48 and 49: The Sutura SuperStitch ® EL• Pro
Page 50 and 51: Thank You
Page 53 and 54: The Sutura SuperStitch ® ELArms an
Page 55 and 56: Thrombi on devicesAmplatzer Device-
Page 57 and 58: Thrombi on devicesAmplatzer Device
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Large PFO close to aortic root16mm
Page 66 and 67:
• TEE allows to identify patients
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Thank you!
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The SeptRx- SystemOnly the left anc
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TEE alone is “not suitable” for
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What isa PFO?
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Residual Shunt…Why?• Occluder s
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Concordance of ICE and TEE24 device
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Embolized occluder- distal Aorta
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And ICE?
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Role of Echo in PFO closure• Diag
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Occluder slippingthrough defect in
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Thrombus RAAfter balloon sizing
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Role of Echo in PFO closure• Diag
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Residual Shunt• 90 % residual shu
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Thrombi on devicesASDOS Device (RA)
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Material• Nitinol framework• 2
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What is different?• Occluder is k
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How does a PFO differ from an ASD?A
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Left AtriumSeptumPrimumSeptumSecund
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ilderDiagnosis:TTERestValsalva
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Amplatzer18, 25, 35 mmNitinol wire
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30 Day Outcome of PFO Closure660 PF
Page 112 and 113:
Why is anatomy important?• For de
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-Diagnosis of a PFO -New devices for PFO closure

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