European position paper on the management of patients with patent foramen ovale: Part II - Decompression sickness, migraine, arterial deoxygenation syndromes and select high-risk clinical conditions
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European position paper on the management of patients with patent foramen ovale : Part II - Decompression sickness, migraine, arterial deoxygenation syndromes and select high-risk clinical conditions. / Pristipino, Christian; Germonpré, Peter; Toni, Danilo; Sievert, Horst; Meier, Bernhard; D'Ascenzo, Fabrizio; Berti, Sergio; Onorato, Eustaquio Maria; Bedogni, Francesco; Mas, Jean-Louis; Scacciatella, Paolo; Hildick-Smith, David; Gaita, Fiorenzo; Kyrle, Paul A.; Thomson, John; Derumeaux, Genevieve; Sibbing, Dirk; Chessa, Massimo; Hornung, Marius; Zamorano, Jose; Dudek, Dariusz; D'Ascenzo, Fabrizio; Omedè, Pierluigi; Ballocca, Flavia; Barbero, Umberto; Giordana, Francesca; Gili, Sebastiano; Iannaccone, Mario; Akagi, Teiji; Anzola, Gianpaolo; Carroll, John; Dalvi, Bharat; De Angelis, Claudio; Junbo, Ge; Kasner, Scott E; Michel-Behnke, Ina; Musumeci, Giuseppe; Søndergaard, Lars; Tarantini, Giuseppe; Biondi-Zoccai, Giuseppe G. L.; Capodanno, Davide; Valgimigli, Marco; Byrne, Robert; Kunadian, Vijay.
I: European Heart Journal, Bind 42, Nr. 16, 2021, s. 1545-1553.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - European position paper on the management of patients with patent foramen ovale
T2 - Part II - Decompression sickness, migraine, arterial deoxygenation syndromes and select high-risk clinical conditions
AU - Pristipino, Christian
AU - Germonpré, Peter
AU - Toni, Danilo
AU - Sievert, Horst
AU - Meier, Bernhard
AU - D'Ascenzo, Fabrizio
AU - Berti, Sergio
AU - Onorato, Eustaquio Maria
AU - Bedogni, Francesco
AU - Mas, Jean-Louis
AU - Scacciatella, Paolo
AU - Hildick-Smith, David
AU - Gaita, Fiorenzo
AU - Kyrle, Paul A.
AU - Thomson, John
AU - Derumeaux, Genevieve
AU - Sibbing, Dirk
AU - Chessa, Massimo
AU - Hornung, Marius
AU - Zamorano, Jose
AU - Dudek, Dariusz
AU - D'Ascenzo, Fabrizio
AU - Omedè, Pierluigi
AU - Ballocca, Flavia
AU - Barbero, Umberto
AU - Giordana, Francesca
AU - Gili, Sebastiano
AU - Iannaccone, Mario
AU - Akagi, Teiji
AU - Anzola, Gianpaolo
AU - Carroll, John
AU - Dalvi, Bharat
AU - De Angelis, Claudio
AU - Junbo, Ge
AU - Kasner, Scott E
AU - Michel-Behnke, Ina
AU - Musumeci, Giuseppe
AU - Søndergaard, Lars
AU - Tarantini, Giuseppe
AU - Biondi-Zoccai, Giuseppe G. L.
AU - Capodanno, Davide
AU - Valgimigli, Marco
AU - Byrne, Robert
AU - Kunadian, Vijay
N1 - Publisher Copyright: © The Author(s), 2021.
PY - 2021
Y1 - 2021
N2 - Patent foramen ovale (PFO) is implicated in the pathogenesis of a number of medical conditions but to date only one official position paper related to left circulation thromboembolism has been published. This interdisciplinary paper, prepared with the involvement of eight European scientific societies, reviews the available evidence and proposes a rationale for decision making for other PFO-related clinical conditions. In order to guarantee a strict evidence-based process, we used a modified grading of recommendations, assessment, development, and evaluation (GRADE) methodology. A critical qualitative and quantitative evaluation of diagnostic and therapeutic procedures was performed, including assessment of the risk/benefit ratio. The level of evidence and the strength of the position statements were weighed and graded according to predefined scales. Despite being based on limited and observational or low-certainty randomised data, a number of position statements were made to frame PFO management in different clinical settings, along with suggestions for new research avenues. This interdisciplinary position paper, recognising the low or very low certainty of existing evidence, provides the first approach to several PFO-related clinical scenarios beyond left circulation thromboembolism and strongly stresses the need for fresh high-quality evidence on these topics.
AB - Patent foramen ovale (PFO) is implicated in the pathogenesis of a number of medical conditions but to date only one official position paper related to left circulation thromboembolism has been published. This interdisciplinary paper, prepared with the involvement of eight European scientific societies, reviews the available evidence and proposes a rationale for decision making for other PFO-related clinical conditions. In order to guarantee a strict evidence-based process, we used a modified grading of recommendations, assessment, development, and evaluation (GRADE) methodology. A critical qualitative and quantitative evaluation of diagnostic and therapeutic procedures was performed, including assessment of the risk/benefit ratio. The level of evidence and the strength of the position statements were weighed and graded according to predefined scales. Despite being based on limited and observational or low-certainty randomised data, a number of position statements were made to frame PFO management in different clinical settings, along with suggestions for new research avenues. This interdisciplinary position paper, recognising the low or very low certainty of existing evidence, provides the first approach to several PFO-related clinical scenarios beyond left circulation thromboembolism and strongly stresses the need for fresh high-quality evidence on these topics.
U2 - 10.1093/eurheartj/ehaa1070
DO - 10.1093/eurheartj/ehaa1070
M3 - Journal article
C2 - 33507260
AN - SCOPUS:85122134818
VL - 42
SP - 1545
EP - 1553
JO - European Heart Journal
JF - European Heart Journal
SN - 0195-668X
IS - 16
ER -
ID: 302486807