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Table 4 Adverse events in the six randomised studies of PFO closure in cryptogenic stroke

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

  1. SAE = serious adverse events; M = medical treatment; C = PFO Closure
  2. *significant difference for p < 0.05
  3. a1 x peripheral nerve lesion and 1 x vessel injury requiring surgical intervention
  4. b1 x pericardial effusion without tamponade, 1 x allergic drug reaction, 1 x vasovagal reaction, 2 x ischaemic stroke, 1 x chest tightness, 1 x infectious endocarditis, 2 x pulmonary embolism, 1 x deep vein thrombosis, 2 x residual shunt requiring re-closure, 1 x sepsis, 1 x transient ventricular tachycardia
  5. c1 x aortic dissection, 1 x AV fistula, 2 x hypotension, 1 x anxiety, 1 x chest tightness, 1 x non-cardiac chest pain, 1 x fatigue, 1 x hemiparesis, 1 x respiratory arrest
  6. d2 x supraventricular tachycardia, 1 x air embolism, 1 x hyperthermia
  7. e1 x pericardial effusion without tamponade, 1 x ischaemic stroke