Cryptogenic stroke and patent foramen ovale: endeavoring for clarity

dc.contributor.authorAmini, Tohid
dc.date.accessioned2026-04-13T13:48:07Z
dc.date.available2026-04-13T13:48:07Z
dc.date.issued2025
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi
dc.description.abstractThis review aims to summarize current knowledge and highlight recent findings on the association between cryptogenic stroke (CS) and patent foramen ovale (PFO). By presenting sometimes conflicting data, the review underscores the necessity for further research to clarify the complex mechanisms behind PFO-related CS and optimize its management. Results from research identifies specific conditions and scores, such as the risk of paradoxical embolism (RoPE) score, that help assess the likelihood of PFO-related cryptogenic stroke and guide treatment decisions. PFO closure has demonstrated substantial benefits in select cases, especially those with high-risk PFO features, though complications such as atrial fibrillation were frequently documented. Biomarker measurements, such as reduced total homocysteine (tHcy) level after PFO closure or high D-dimer levels indicating a higher risk of stroke recurrence, represent newer areas of study with a promising future in medical practice. Cryptogenic stroke (CS) remains a diagnostic challenge. This article reviews the current understanding of PFO-related CS, focusing on the interplay of concomitant pathological conditions, PFO closure, stroke recurrence, and some of the related biomarkers.
dc.identifier.citationAmini, T. (2025). Cryptogenic stroke and patent foramen ovale: endeavoring for clarity. Frontiers in Neurology, 15. http://dx.doi.org/10.3389/fneur.2024.1533232
dc.identifier.doi10.3389/fneur.2024.1533232
dc.identifier.issn1664-2295
dc.identifier.pmid39877404
dc.identifier.scopus2-s2.0-85216226059
dc.identifier.scopusqualityQ2
dc.identifier.urihttp://dx.doi.org/10.3389/fneur.2024.1533232
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13421
dc.identifier.volume15
dc.identifier.wosWOS:001408011400001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAmini, Tohid
dc.language.isoen
dc.relation.ispartofFrontiers in Neurology
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectBiomarkers
dc.subjectCryptogenic Stroke (CS)
dc.subjectPerioperative Stroke
dc.subjectPFO (Patent Foramen Ovale)
dc.subjectPFO Closure
dc.subjectPFO Detection
dc.subjectRope Score and PASCAL Classification
dc.subjectStroke Recurrence
dc.titleCryptogenic stroke and patent foramen ovale: endeavoring for clarity
dc.typeOther

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