Low risk for the doctor because it doesn't affect the doctor, you as the patient bears all the damage.
Will that doctor guarantee full recovery if a stroke does occur? Buying an insurance policy from Lloyds of London?
http://www.docguide.com/catheter-based-closure-not-recommended-patients-heart-defect-stroke?
MINNEAPOLIS,
Minn -- July 27, 2016 -- An updated recommendation from the American
Academy of Neurology (AAN) states that catheter-based closure should not
be routinely recommended for people who have had a stroke and also have
a patent foramen ovale (PFO).
The practice advisory, which updates a previous AAN guideline, is
published in the July 27, 2016, online issue of the journal Neurology.
To develop the advisory, researchers reviewed all available
scientific studies on people with PFO who also had an ischemic stroke or
a transient ischemic attack (TIA).
“Compared with other ways to prevent a second stroke, such as
medications to reduce blood clots, the devices used to close a patent
foramen ovale have limited evidence to support their use,” said practice
advisory author Steven R. Messé, MD, University of Pennsylvania
Perelman School of Medicine, Philadelphia, Pennsylvania. “It’s still
uncertain how effective these devices are in reducing stroke risk, and
the procedure is associated with uncommon but potentially serious
complications.”
In addition, Dr. Messé noted that the devices used for PFO closure
are not available for routine use in the United States, so the procedure
must be done off-label with a device approved for treating a similar
heart defect or with another device that does not have strong evidence
regarding its use. At the time of publication, the US Food and Drug
Administration (FDA) is currently reviewing the one device that has the
best evidence regarding closure.
“People should know that having a PFO is common -- 1 in 4 people have
one -- and the risk of having a second stroke is low,” said Dr. Messé.
When the AAN developed the earlier guideline on this topic in 2004,
not enough evidence was available to make a recommendation on whether
closing a PFO was effective in reducing stroke risk.
The advisory also recommends that aspirin or other antiplatelet drugs
be used to prevent blood clots instead of blood thinners unless there
is another reason to use blood thinners, such as a person with a history
of blood clots in the legs or lungs.
SOURCE: American Academy of Neurology
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