卵圆孔未闭相关性卒中的诊治研究进展

卵圆孔未闭(patent foramen ovale,PFO)与卒中发病有明显的关联.应利用卒中高风险PFO解剖学特征、卒中影像特征及反常栓塞风险量表等,经多科综合评估,选择患者最适合的治疗方案.多数现有研究及指南支持对于卒中高风险PFO患者,首选PFO封堵术加术后长期抗血小板治疗;单独抗凝治疗与单独抗血小板治疗在预防...

Progress in Diagnosis and Treatment of Stroke Related with Patent Foramen Ovale

Patent foramen ovale (PFO) is strongly associated with cryptogenic stroke. For thepatients with high-risk PFO, the appropriate treatment is decided by comprehensive evaluationincluding the high-risk PFO anatomical features, stroke imaging features and risk of paradoxicalembolism (RoPE) scale, etc. Most of the existing research and guidelines support that PFO closerplus long-term antiplatelet therapy should be preferred for the patients with high-risk PFO, but thepostoperative complications such as atrial fibrillation and occluder-related thrombosis may occur.Anticoagulation therapy and antiplatelet therapy are equally effective in preventing recurrent stroke.