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Angiographic Evaluation for PFO and Pulmonary AVMs

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Patent Foramen Ovale

Abstract

Angiographic evaluation of PFO was routinely performed early in the device closure experience, with fewer operators performing routine angiograms today. With the advent of newer echo techniques (Chap. 5?), angiography is less important to delineate PFO anatomy. Similarly, fluoroscopic balloon sizing of PFO is performed by only 50 % of operators, according to a recent poll at two international meetings (CSI and PICS Meetings, 2010). Despite this trend, balloon sizing offers valuable information regarding PFO anatomy, specifically with the characteristics of the tunnel. Most importantly, angiography plays an essential role in patients with a persistent residual shunt through a previously placed device. Angiography allows the interventionalist to both quantify and delineate the anatomy of the residual defect and is important for choosing the correct type and size of device to use for closure.

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Author information

Authors and Affiliations

  1. Department of Pediatrics/Cardiology, Children’s Hospital of Michigan, Wayne State University School of Medicine, 3901 Beaubien Blvd, Detroit, 48201, MI, USA

    Daniel R. Turner MD, FAAP, FACC

  2. Division of Cardiology, Children’s Hospital of Michigan, Wayne State University, Detroit, MI, USA

    Thomas J. Forbes MD

Authors
  1. Daniel R. Turner MD, FAAP, FACC
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  2. Thomas J. Forbes MD
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Corresponding author

Correspondence to Daniel R. Turner MD, FAAP, FACC .

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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Turner, D.R., Forbes, T.J. (2015). Angiographic Evaluation for PFO and Pulmonary AVMs. 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_8

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  • DOI: https://doi.org/10.1007/978-1-4471-4987-3_8

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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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