PFO
PFO Pathway
Stroke • TIA • PFO

PFO • Stroke • TIA

One pathway.
Clear assessment.
Clear decision.

A concise, editable website shell for PFO diagnosis, multimodality assessment and PFO management.

Refer a patient PFO diagnosis

Patient information

What is a PFO

PFO is a common connection between the right and left atrium. In selected patients it may be relevant after stroke or TIA.

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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