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Optimal Device for Children and Closure Indications in Pediatric Population

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Patent Foramen Ovale

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Abstract

Transcatheter patent foramen ovale closure has evolved into one of the most commonly performed structural interventions worldwide. Although the prevalence of patent foramen ovale may even be greater in children than adults, closure is rarely performed in this group despite susceptibility to similar defect-related morbidity. Despite an association with arterial ischemic stroke in approximately 5 % of cases and an overall stroke recurrence rate of 20 %, proof that device closure is superior to medical therapy will be significantly more challenging to prove than it has been in adult patients. Therefore as with many circumstances in interventional pediatric cardiology, treatment of patent foramen ovale in children lacks supportive data and practice varies considerably. This chapter will outline some of the indications for closure in a pediatric population, methods to circumvent some of the diagnostic challenges and a technical approach to closure in this age group.

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Author information

Authors and Affiliations

  1. Department of Pediatrics and Medicine, Rush University Medical Center, 1653 West Congress Parkway, Suite 770 Jones, Chicago, IL, 60612, USA

    Damien Kenny MB, MD, MRCPCH

Authors
  1. Damien Kenny MB, MD, MRCPCH
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Correspondence to Damien Kenny MB, MD, MRCPCH .

Editor information

Editors and Affiliations

  1. Children's Hospital of Georgia, Augusta, Georgia, USA

    Zahid Amin

  2. UCLA, Los Angeles, California, USA

    Jonathan M. Tobis

  3. CardioVascular Center, Frankfurt, Germany

    Horst Sievert

  4. University of Colorado Denver Anschutz Medical Campus, Aurora, Colorado, USA

    John D. Carroll

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© 2015 Springer-Verlag London

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Kenny, D. (2015). Optimal Device for Children and Closure Indications in Pediatric Population. In: Amin, Z., Tobis, J., Sievert, H., Carroll, J. (eds) Patent Foramen Ovale. Springer, London. https://doi.org/10.1007/978-1-4471-4987-3_19

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  • DOI: https://doi.org/10.1007/978-1-4471-4987-3_19

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4986-6

  • Online ISBN: 978-1-4471-4987-3

  • eBook Packages: MedicineMedicine (R0)

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