Stroke during Pregnancy: Therapeutic Options and Role of Percutaneous Device Closure
Stroke during Pregnancy: Therapeutic Options and Role of Percutaneous Device Closure
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DOI：
10.1016/j.hlc.2011.03.004
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发表时间：
2011-08-01
影响因子：
2.6
通讯作者：
Collins, Nicholas
中科院分区：
文献类型：
--
作者：
Dark, Lisa;Loiselle, Andre;Collins, Nicholas
经皮装置闭合卵圆孔未闭已发展成为推测隐源性中风患者的一种治疗选择。这些疗法的正确使用依赖于适当的临床评估，以及对某些封堵装置的潜在优势的了解。怀孕是中风的一种不常见的情况，但尽管如此，它代表了一种高度凝结的状态，可能容易发生血栓栓塞。我们描述了一例妊娠期中风经皮封堵器治疗的病例，讨论了封堵器的作用和替代方法，以及与器械选择和介入操作相关的具体问题。(C)2011年澳大利亚心脏和胸科外科医生学会以及澳大利亚和新西兰心脏学会。爱思唯尔公司出版，版权所有。
Percutaneous device closure of patent foramen ovale has developed into a therapeutic option for patients with presumed cryptogenic stroke. The appropriate use of these therapies relies on appropriate clinical assessment, as well as an understanding of the potential advantages of certain closure devices. Pregnancy is an uncommon scenario for stroke, but nonetheless represents a hypercoaguable state which may predispose to thromboembolism. We describe a case of stroke during pregnancy treated with percutaneous device closure; the role of, and alternatives to, device closure are discussed, as are specific issues related to device selection and the interventional procedure. (Heart, Lung and Circulation 2011;20:538-542) (C) 2011 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.