DEVELOPED BY: Iqbal Malik, John Thomson, Eustaquio Onorato, Mehul Patel & Bushra Rana

This years CSI Focus PFO track will continue to support operators and institutions providing PFO closure by covering the evidence base, the contemporary guideline context, and practical tips and tricks during procedures with a range of devices. Highlights of the program this year include a debate on the "high risk" anatomy concept which is shaping some guideline positions. In addition, we will continue to use the step-by-step live case format for which we are known to transfer knowledge and experience from one cathlab to another.

Invited speakers: Joseph Kwan, John Carroll, Mark Turner, Lars Søndergaard, Mark Reisman, David Kent, David Hildick-Smith, Sun U. Kwon, Nina Wunderlich, Dee Dee Wang, Xiangbin Pan, Nilesh Sutaria, Sergio Berti, Stephen Edwards, Niki Walker, Michael Mullen, Junbo Ge, Zahid Amin, Ting Ting Low, Mario Carminati, Sameer Gafoor, Neil Ruparelia & Michael Laffanor

Indications for PFO closure
Question: Should we close all PFOs if allowed to?
Stroke - data and guidelines: any disagreement in USA/Europe

Stroke - when the guidelines are wrong - case based discussion

Decompression illness – evidence, pitfalls

Orthodeoxia-Platypnoea - evidence and pitfalls

Migraine – are we there yet? How close are we to this be a standard indication?

RoPE, Pascal and other scores – to use or not use in the “real” world

Diagnosis and procedure
Panel discussion: how to look for PFOs
•    TCD is the only test I do before the cath lab
•    TTE is the only test I do before the cath lab
•    TEE is the way to go
Panel discussion: procedural guidance
•    TTE
•    TOE
•    Fluoro
•    ICE
Pre PFO closure AF monitoring is important and should influence management
AF is largely irrelevant-ignore it and close the PFO!
Umbrella devices – are there any real differences between them and how they perform?
Closing PFO without devices
Bioabsorbable devices
Difficult questions in PFO pATIENTS
Complex PFO - what should I do?
Duration of medication – single or dual antiplatelet? Evidence?
Sizing PFO- balloon or no balloon
How to diagnose residual shunts
How to deal with residual shunts
AF post PFO closure- use CHADVASC or not?
PFO closure in a thrombophilia patient- to close or not to close


This workshop is part of CSI Frankfurt 2023, the leading conference on catheter interventions in congenital, structural and valvar heart disease and heart failure, which will take place June 28 - July 1, 2023 in Frankfurt, Germany. 

Drop in for the day, or join us for the full 4-day program providing a comprehensive overview of the field presented by experts and key opinion leaders from all over the world.