Letter by Schuchlenz Regarding Article, 'transesophageal echocardiography in cryptogenic stroke and patent foramen ovale analysis of putative high-risk features from the risk of paradoxical embolism database'

摘要

I read with a great interest the Risk of Paradoxical Embolism (RoPE) Study of Wessler et al,1 who demonstrated that previously proposed high-risk transesophageal echocardiography (TEE) findings of septal hypermobility, shunt at rest, and a physiologically large shunt do not seem to be found more frequently in patients whose clinical and neuroimaging features (ie, superficially located lesions) are highly suggestive of a patent foramen ovale (PFO)-attributable index stroke.