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SCAI Expert Consensus Statement on Operator and Institutional Requirements for PFO Closure for Secondary Prevention of Paradoxical Embolic Stroke

Consensus Statement Quality Training

The American Academy of Neurology affirms the value of this statement as an educational tool for neurologists.

Publication of high‐quality evidence from randomized clinical trials and FDA approval of two devices for percutaneous PFO closure is expected to increase the volume of these procedures worldwide. As this technology is disseminated broadly to the public, ensuring the safe and efficacious performance of PFO closure is essential to mitigate risk and avoid unnecessary procedures. This document, prepared by a multi‐disciplinary writing group convened by the Society for Cardiovascular Angiography and Interventions and including representatives from the American Academy of Neurology, makes recommendations for institutional infrastructure and individual skills necessary to initiate and maintain an active PFO/stroke program, with emphasis on shared decision making and patient‐centered care.


prevalence of PFO in the general population

All authors: Eric Horlick MD, FSCAI (Chair); Clifford J. Kavinsky, MD, PhD, MSCAI (Co-Chair); Zahid Amin, MD, MSCAI; Konstantinos Dean Boudoulas, MD, FSCAI; John D. Carroll, MD, MSCAI; Ziyad M. Hijazi, MD, MPH, MSCAI; Dana Leifer, MD; Helmi L. Lutsep, MD; John F. Rhodes, MD; and Jonathan M. Tobis, MD, MSCAI.

Other Guidance Documents

Evidence-based recommendations that promote optimal patient care based on current state-of-the-art science in interventional cardiology.