From: Cryptogenic stroke and patent foramen ovale (abridged and translated version)
Parameters | Group | Closure I | PC Trial | RESPECT | REDUCE | CLOSE | Defense PFO |
---|---|---|---|---|---|---|---|
Device | STARFlex | Amplatzer PFO | Amplatzer PFO | HELEX/Cardioform | Different devices | Amplatzer PFO | |
1. General Adverse Events | |||||||
M | 16.9 | 17.6 | 40.3 | 27.8 | 33.2 | – | |
Overall SAE (%) | C | 16.6 | 21.1 | 36.0 | 23.1 | 35.7 | – |
P | 0.90 | 0.37 | 0.17 | 0.22 | 0.56 | – | |
Atrial fibrillation or flutter (%) | M | 0.7* | 1.0 | 1.5 | 0.4* | 0.9* | 0 |
C | 5.7* | 2.9 | 3.0 | 6.6* | 4.6* | 3.3 | |
P | < 0.001 | 0.17 | 0.13 | < 0.0001 | 0.02 | – | |
Overall major bleeding (%) | M | 1.1 | 1.4 | 0.2 | 2.7 | 2.1 | 4.9 |
C | 2.6 | 0.5 | 0.6 | 1.8 | 0.8 | 0 | |
P | 0.11 | 0.62 | 0.6 | 0.57 | 0.28 | 0.15 | |
M | 0 | 0 | 0.6* | 0.4 | 0 | 0 | |
Pulmonary embolism (%) | C | 0 | 0 | 2.4* | 0.5 | 0.4 | 0 |
P | – | – | 0.034 | 1.0 | – | – | |
2. Procedural and occluder-associated complications | |||||||
Atrial fibrillation or flutter (%) | C | 3.5 | 0.5 | 1.4 | 5.4 | 4.2 | 3.0 |
Bleeding (%) | C | 2.5 | 1 | 0.6 | 0.9 | 0 | 0 |
Pericardial tamponade (%) | C | 0 | 0 | 0.4 | 0.2 | 0 | 0 |
Cardiac thrombus (%) | C | 1.1 | 0 | 0.2 | 0.5 | 0.4 | 0 |
Cardiac perforation (%) | C | 0.25 | 0 | 0.2 | 0 | 0 | 0 |
Occluder embolisation (%) | C | 0 | 0 | 0 | 0.7 | 0 | 0 |
Rare complications classified as procedural or occluder-associated (%) | C | 0.5a | 0 | 2.8b | 2.3c | 1.7d | 3.3e |