PFO
PFO Pathway
Stroke • TIA • PFO

PFO • Stroke • TIA • Migraine • Decompression sickness

One pathway.
Comprehensive PFO diagnosis.
PFO risk score.
Percutaneous PFO closure.

Comprehensive service, for multimodality PFO diagnosis, risk score assessment, and management, following a stroke, TIA, in migraines and decompression sickness.

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Patient information

What is a PFO

PFO is a common connection between the right and left atrium. It is significantly more common in patients who suffered from a stroke or TIA. People suffering from migraines, are also more likely to have a PFO. Amongst divers, those with PFO are more likely to suffer from decompression sickness. Diagnosis of PFO is very important, in particular if history of stroke or TIA, as in selected patients, closure of PFO, is associated with significant reduction of recurrent stroke.

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PFOStrokeTIACryptogenic strokeParadoxical embolism
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Assessment

PFO diagnosis with multimodality approach

Bubble echo

Contrast echo and shunt grading.

Arm + leg injection

Alternative venous routes where appropriate.

TCD

Bubble shower / right-to-left shunt detection.

TOE

Septal anatomy and high-risk features.

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Decision-making

Management of PFO

Management depends on stroke mechanism, age, vascular risk factors, PFO anatomy, shunt size and patient preference.

Medical therapyPFO closureRisk assessmentFollow-up
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About

Prof Alexander Kempny MD PhD FRCP

Consultant Cardiologist, London, UK.

Prof Alexander Kempny is a consultant cardiologist with specialist expertise in adult congenital heart disease, structural intervention and complex percutaneous cardiac procedures.

His clinical work includes PFO assessment and closure, ASD closure, complex congenital and structural interventions, and detailed pre-procedural planning using 3D reconstruction, virtual planning and 3D printing.

He has published extensively in cardiovascular medicine and has particular interest in structured decision-making, imaging-guided assessment and safe procedural planning.

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Main profile: profkempny.co.uk

Referral

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Email: profkempnypa@medicalsecservices.co.uk

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