pfo

1. CRYPTOGENIC STROKE
and PFO
DR. NGUYỄN MẠNH CƯỜNG
Khoa Tim mạch – BV Đa khoa quốc tế SIS Cần Thơ

3. Anatomy PFO

9. Who is in risk? Aneurysmal septum

10. Fenestrated ASD

11. Eustachian Valve
trong bài “Lỗ bầu dục”).
a common finding in patients with a patent foramen ovale (PFO). Its
theter closure of the PFO.
patients, one of the six arms of the right umbrella hooked on
a prominent EV (Figure 1A and B). Manipulation using the
guiding sheath resulted in correct positioning of the device in
wo patients (Figure 2). In one patient the device needed to
m
https://academic.oup.com/ehjcimaging/arti

12. CRYPTOGENIC STROKE

15. Cryptogenic stroke means
• We don’t know the cause
• Incomplete diagnostic workup
• Complete assessment without finding a cause
• More than one possible cause is found

16. Tiêu chuẩn ESUS
(Embolic stroke of unknown source)
• Stroke detected (CT/MRI) that is not lacunar
• No arterial stenosis >=50% in the supplying arteries (CT/MR angio/
doppler us cervical + transcranial)
• No major risk cardioembolic source of embolism.
• No other specific cause identified (ECG, holter, Echocardiac..)

17. THANG ĐIỂM ROPE

19. Study closure PFO

20. Giblett JP, Williams LK, Kyranis S, Shapiro LM, Calvert PA
Randomised Trials Comparing Patent Foramen Ovale Closure with Medical Therapy
Citation: Interventional Cardiology Review 2020;15:e15.
https://doi.org/10.15420/icr.2019.27

22. GUIDELINE: PFO CLOSURE

34. CASE LÂM SÀNG
• NAM 29 TUỔI
• KHÔNG TIỀN CĂN BỆNH LÝ
• ĐỘT QUỴ NÃO

35. CASE LÂM SÀNG

37. CLOSURE PFO

38. PFO CLOSURE

39. Neurologist Cardiologist