-Diagnosis of a PFO -New devices for PFO closure

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Thrombi on devicesASDOS Device (RA)Starflex Occluder (LA +RA)
2247 Patients with atrial septal device closure,9 different devices,Incidence of thrombi evaluated using TEE (1+6 month)%(85% in the1 st month, 15% after 1 month)5432101.2%PFO0.9%ASDBaranowski et al; presented Mannheim 2007
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The 3rd international meeting of Pe
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Role of Echo:How to diagnose a PFO
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Diagnosis of PFO• TEE Transesopha
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Diagnosis PFOTTE
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Transcranial Doppler→ significant
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Why no diagnosis of PFOby transcran
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The ideal PFO approach• For diagn
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Intrapulmonary ShuntingContrast via
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Anatomy and MorphologyWhich informa
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Typical PFO
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Rim assessment in 2DTEEsuperiorLAAV
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Role of Echo:How to diagnose a PFO
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Injection via cubital vein + Valsal
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Sensitivity for Detection of PFOA d
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Septal AneurysmBase diameterAneurys
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What's that?Large Eustachian Valve
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How to close aPFO?
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Most frequently used PFO devicesAmp
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Solysafe ® (Carag)• Self-centeri
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New developments• New double- dis
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The Spider TM PFOOccluder• Self-e
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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
Page 60: Large PFO close to aortic root16mm
Page 66 and 67: • TEE allows to identify patients
Page 68 and 69: Thank you!
Page 70: The SeptRx- SystemOnly the left anc
Page 73 and 74: TEE alone is “not suitable” for
Page 75 and 76: What isa PFO?
Page 77 and 78: Residual Shunt…Why?• Occluder s
Page 79 and 80: Concordance of ICE and TEE24 device
Page 81 and 82: Embolized occluder- distal Aorta
Page 83: And ICE?
Page 86 and 87: Role of Echo in PFO closure• Diag
Page 88 and 89: Occluder slippingthrough defect in
Page 90 and 91: Thrombus RAAfter balloon sizing
Page 92 and 93: Role of Echo in PFO closure• Diag
Page 94 and 95: Residual Shunt• 90 % residual shu
Page 98 and 99: Material• Nitinol framework• 2
Page 100 and 101: What is different?• Occluder is k
Page 102 and 103: How does a PFO differ from an ASD?A
Page 104 and 105: Left AtriumSeptumPrimumSeptumSecund
Page 106 and 107: ilderDiagnosis:TTERestValsalva
Page 108 and 109: Amplatzer18, 25, 35 mmNitinol wire
Page 110 and 111: 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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