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Accidente cerebrovascular isquémico en pacientes con cierre percutáneo del foramen oval permeable;
Ischemic Stroke in Patients with Percutaneous Patent Foramen Ovale Closure

Creators:Contreras, Alejandro Ernesto; Hospital Privado Universitario de Cordoba. Argentina, Martínez, Matías, Ferrero Guadagnoli, Adolfo, Miara López, Jonathan, Peirone, Alejandro R.
2017-11-21

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Descripción

Introducción: El foramen oval permeable (FOP) se encuentra en alrededor del 50% en pacientes que han sufrido un accidente cerebrovascular (ACV) criptogénico. La recurrencia de un ACV isquémico luego del cierre percutáneo de FOP es alrededor de 1% anual. El objetivo del presente trabajo fue evaluar la prevalencia de recurrencia de ACV isquémico en nuestra población tratada con cierre percutáneo de FOP. Material y métodos: Se incluyeron en forma retrospectiva todos los pacientes con diagnóstico de ACV isquémico criptogénico a quienes se les ocluyó mediante técnica percutánea un FOP desde enero de 2007 hasta septiembre de 2015. En el seguimiento, se detectaron los casos en que se diagnosticó recurrencia de evento en forma de nuevo ACV isquémico y/o crisis isquémica transitoria (CIT) posterior el cierre percutáneo. Resultados: Se incluyeron 28 pacientes. La edad al momento del procedimiento fue 47 años (20-71), el 50% eran mujeres y el 79% había tenido ACV, 21% CIT. El score de RoPE fue 7,07 puntos (3-10).  El cierre percutáneo fue exitoso en todos los casos. En un periodo de seguimiento promedio de 1263 días (270-2800), se identificaron 2 pacientes (7%) que tuvieron nuevo ACV. En ambos pacientes se repitió ecocardiograma y se encontró FOP cerrado sin fugas residuales. Conclusión: la frecuencia de recurrencia de ACV es baja y posiblemente un buen número de los casos recurrentes no sean prevenibles con el cierre de FOP.

Background: The prevalence of patent foramen ovale is approximately 50% in patients who have suffered a cryptogenic stroke. The recurrence of ischemic stroke after percutaneous patent foramen ovale closure is approximately 1% per year. Objective: The aim of this study was to evaluate the prevalence of recurrent ischemic stroke in our population undergoing percutaneous patent foramen ovale closure. Methods: All patients with diagnosis of cryptogenic ischemic stroke who underwent percutaneous patent foramen ovale closure between January 2007 and September 2015 were retrospectively included. Follow-up detected patients who had either a recurrent stroke and/or a transient ischemic attack after percutaneous patent foramen ovale closure. Results: Twenty eight patients with average age of 47 years (20-71 years) at the time of the procedure were included in the study. Fifty percent of patients were females, 79% had previous history of stroke and 21% of transient ischemic attack. The RoPE score was 7.07 points (3-10 points) and percutaneous closure was successful in all cases. During follow-up (median 989 days, interquartile range 670-1766 days), two patients (7%) had a new stroke. In both patients, transesophageal echocardiography revealed closed patent foramen ovale without residual leak. Conclusions: The incidence of a recurrent stroke is low after percutaneous patent foramen ovale closure and it is possible that a significant number of recurrent cases will not be preventable with its closure.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 85, No 3 (2017); 223-226, Argentine Journal of Cardiology; Vol 85, No 3 (2017); 223-226

Citación

Contreras, Alejandro Ernesto; Hospital Privado Universitario de Cordoba. Argentina et al., “Accidente cerebrovascular isquémico en pacientes con cierre percutáneo del foramen oval permeable,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/9286.

Dublin Core

Materia

Autor

Contreras, Alejandro Ernesto; Hospital Privado Universitario de Cordoba. Argentina
Martínez, Matías
Ferrero Guadagnoli, Adolfo
Miara López, Jonathan
Peirone, Alejandro R.

Fuente

Revista Argentina de Cardiología; Vol 85, No 3 (2017); 223-226
Argentine Journal of Cardiology; Vol 85, No 3 (2017); 223-226

Editor

Sociedad Argentina de Cardiología

Fecha

2017-11-21

Colaborador

No

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Formato

Idioma

spa
eng

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion