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Vicky Kumar: How Best to Manage Patients with Patent Foramen Ovale After a Cryptogenic Stroke
Vicky Kumar/LinkedIn
Mar 26, 2026, 15:50

Vicky Kumar: How Best to Manage Patients with Patent Foramen Ovale After a Cryptogenic Stroke

Vicky Kumar, Research Fellow at The George Washington University, shared on LinkedIn about a recent article he and his colleagues co-authored, adding:

”’Pill or Plug? Rethinking Secondary Stroke Prevention for PFO Patients’

In this review, we explore one of the most debated topics in stroke prevention—how best to manage patients with patent foramen ovale (PFO) after a cryptogenic stroke.

We dive into:

  • Medical therapy (antiplatelets vs anticoagulants)
  • Transcatheter PFO closure and evolving device technologies
  • Key clinical trials shaping current practice
  • Risk stratification tools like RoPE and PASCAL
  • The importance of personalized, patient-centered decision-making

Our key takeaway: there is no ‘one-size-fits-all; approach—optimal management depends on careful patient selection, balancing benefits with potential risks such as atrial fibrillation.

Grateful to collaborate with an amazing team of co-authors across institutions.

This work reinforces the importance of integrating cardiology and neurology perspectives to improve outcomes in stroke care.”

Title: Pill or plug? Rethinking secondary stroke prevention for PFO patients

Authors: Roshni Memon, Umar Aziz, Hamama Waseem, Muqadas Bhatti, Javeria Nawaz, Muhammad Waaiz, Raghabendra Kumar Mahato, Vicky Kumar, Haris Muhammad

Read the Full Article on Annals of Medicine and Surgery

Vicky Kumar: How Best to Manage Patients with Patent Foramen Ovale After a Cryptogenic Stroke

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AF anticoagulants Antiplatelets Atrial Fibrillation Hamama Waseem Haris Muhammad Health Hematology Hemostasis Hemostasis News Hemostasis Today Javeria Nawaz Medicine Muhammad Waaiz Muqadas Bhatti Patent Foramen Ovale PFO Raghabendra Kumar Mahato Roshni Memon stroke thrombosis Umar Aziz Vicky Kumar
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