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Patent foramen ovale management: who should do what?
Author(s) -
Rigatelli G.,
Cardaioli P.
Publication year - 2007
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.2006.01610.x
Subject(s) - patent foramen ovale , medicine , confusion , closure (psychology) , percutaneous , stroke (engine) , medical therapy , intensive care medicine , multidisciplinary approach , medical emergency , cardiology , psychology , mechanical engineering , social science , sociology , economics , psychoanalysis , engineering , market economy
Although definitive evidence of effectiveness of percutaneous patent foramen ovale (PFO) closure is still debated and closure seems to be recommendable only for secondary prevention of stroke, many different specialists may be involved in diagnosis and treatment of the different PFO‐related syndromes. When many different professionals are involved in the same patient management, confusion about who does make the diagnosis and who does take decision about medical or interventional therapy would be frequent and correct judgment and actions would be delayed. The authors propose a model of multidisciplinary protocol to manage PFO‐related syndrome, in which each specialists has a specific role during the decision‐making process that is driven by the cardiologist.