微創手術如何關閉卵圓孔，減低中風風險？－張誠謙心臟科專科醫生＠FindDoc.com

微創手術如何關閉卵圓孔，減低中風風險？－張誠謙心臟科專科醫生＠FindDoc.com

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（一）什麼是卵圓孔未閉症？卵圓孔未閉症與中風有關？ 00:05

（二）如何診斷卵圓孔未閉症？ 01:01

（三）微創手術如何關閉卵圓孔？ 01:21

（四）封堵器如何減低中風風險？03:06

(本短片作健康教育之用，並不可取代任何醫療診斷或治療。治療成效因人而異，如有疑問，請向專業醫療人士諮詢。)

參考資料 :
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2. National Health Service. (3 August 2021). Stroke. Retrieved from
https://www.nhs.uk/conditions/stroke/
3. Jeffrey L. Saver, M.D., John D. Carroll, M.D, et al Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke. N Engl J Med 2017; 377:1022-1032/DOI: 10.1056/NEJMoa1610057.
4. Mohammad K Mojadidi, Muhammad O Zaman, Islam Y Elgendy et al Cryptogenic Stroke and Patent Foramen Ovale. J AM Coll Cardiol 2018 Mar 6;71(9):1035-1043. doi: 10.1016/j.jacc.2017.12.059.
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https://www.mayoclinic.org/zh-hans/diseases-conditions/patent-foramen-ovale/symptoms-causes/syc-20353487
6. Cleveland Clinic. (15 July 2022). Patent Foramen Ovale (PFO). Retrieved from
https://my.clevelandclinic.org/health/diseases/17326-patent-foramen-ovale-pfo
7. American Stroke Association. (18 September 2022). Cryptogenic Stroke or Stroke of Unknown Cause. Retrieved from
https://www.stroke.org/en/about-stroke/types-of-stroke/cryptogenic-stroke
8. Rothwell P. M. (2007). Making the most of secondary prevention. Stroke, 38(6), 1726. https://doi.org/10.1161/STROKEAHA.107.482265
9. Walter N Kernan, Bruce Ovbiagele, Henry R Black et al Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack. 2014 Jul;45(7):2160-236. doi: 10.1161/STR.0000000000000024.
10. Esther Boot, Merel Sanne Ekker, Junkanoo Putaala et al Ischaemic stroke in young adults: a global perspective. Journal of Neurology, Neurosurgery & Psychiatry 2020; 91: 411-417.
11. Ebrahimi, H. A., Moghadam, A. H., & Aredestani, E. (2011). Evaluation of patent foramen ovale in young adults with cryptogenic stroke. ARYA atherosclerosis, 7(2), 74.
12. Patent Foramen Ovale Closure or Anticoagulation vs. Antiplatelets after Stroke. Article in New England Journal of Medicine. September 2017, DOI: 10.1056/NEJMoal1705915.
13. Fleissner F, Frank P, Haverich A, Ismail I. Echocardiographic guided, transatrial closure of a patent foramen ovale. J Cardiothorac Surg. 2020;15(1):255. Published 2020 Sep 14. doi:10.1186/s13019-020-01289-7.
14. Cleveland Clinic. (2 May 2022). Thoracotomy. Retrieved from
https://my.clevelandclinic.org/health/treatments/22981-thoracotomy
15. Brown KN, ElBebawy B, Shah AH, et al. Catheter Management Of Patent Foramen Ovale. [Updated 2022 May 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
16. Steven R. Messé, Gary S. Gronseth, David M. Kent et al Practice advisory update summary: Patent foramen ovale and secondary stroke prevention. First published April 29, 2020, DOI: https://doi.org/10.1212/WNL.0000000000009443.

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