Patent Foramen Ovale/Atrial Septal Defect (PFO/ASD) Closure

This procedure is done to close a small hole that is in the inside wall of the heart between the left and right chambers. A catheter, similar to an IV, is inserted into your groin and follows the path that leads to your heart. When the catheter reaches the inside of your heart wall where the hole is, a tiny umbrella-like device is released through the catheter. It is positioned so that it plugs the hole between the left and right sides of your heart. The device is secured in place and the catheter is then withdrawn from the body.

Preparing For Your Procedure

  • You may have clear liquids (any fluid which is transparent, such as water, apple/cranberry/grape juice, black coffee or tea) until you leave for the hospital.
    • NO dairy products, including cream, or non-transparent fluids, such as orange/tomato juice.
    • NO solids after midnight the night before.
  • Please shower with soap and water prior to your procedure.
    • Do not use creams, lotions or oils.
    • Deodorant is acceptable.
  • If you wear glasses or hearing aids, please wear them that day.
    • Contacts will need to be removed prior to procedure.
    • Please leave all other valuable at home such as money, watches, and jewelry.
  • Arrive on time and bring your insurance card (please contact your insurance providers for coverage details).
  • Please make arrangements for someone 18 years or older to be with you during your stay and to drive you home the next day.

Can I Take Medications?

  • Please bring home medications in original bottles the morning of your procedure, including insulin.
    • Do NOT take the day of your procedure: Lasix (furosemide), Bumex (bumetanide), Torsemide, Lovenox, Motrin, Advil (ibuprofen), Aleve (naproxen), Insulin, Metformin or medications that include metformin.

    • Do NOT take 2 days prior to your procedure: Pradaxa, Xarelto, Eliquis and Savaysa.

    • Do NOT take 4 days prior to your procedure: Coumadin, Warfarin, Jantoven

    • Continue to take: Brilinta, Effient, Plavix and Aspirin.

What Can I Expect?

  • Usually you will be awake during the procedure but given medications to help you relax and manage any pain or discomfort you may have.

  • You will be admitted to the hospital, please plan accordingly with an overnight bag.

What Will My Recovery Be Like?

  • Your activity may be restricted after your procedure.

    • No strenuous activity for 5 days

    • No lifting over 10 pounds for 5 days with the affected leg

    • No driving for 2 days

  • If you will need a return to work slip, please ask for this prior to discharge.

If you have questions or concerns about preparing for this test, call your Cardiologist's office.

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