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The management of Patent Foramen Ovale in stroke webinar

1pm - 3pm

MS Teams Meeting

Greater Manchester Neuro Rehabilitation and Integrated Stroke Delivery Network logo

Presented by Dr Matt Daniels, Consultant Cardiologist, Manchester Royal Infirmary

To register for this event please fill out the form at the bottom of the page.

Patent Foramen Ovale closure to prevent recurrent stroke


  1. Review Randomised control trials on PFOC vs medical therapy (20min)
    • Patients included in trials – Age & comorbidity
    • How was PFO defined – what is a positive bubble test?
    • What was “medical therapy”?
    • What devices were used – were there any differences?
  2. What was the outcome?PFO closure in the UK – understanding how the goalposts have moved
    • A review of historical practice (pre 2013)
    • Commissioning through evaluation period (2014-17)
    • Commissioning through evaluation outcomes
    • Re-commissioned service (post 2019)
    • Impact on UK activity & cardiac services in particular
    • The typical patient pathway to PFOc – how do we deliver the service in the real world?
  3. Index stroke
    • Young stroke investigations – what is needed?
    • PFO screening
    • PFO MDT discussions
    • preadmission/first cardiology contact
    • The PFO closure procedure
    • Follow up
  4. Opportunities and uncertainties in PFOc – some case examples