CONCLUSION
We hereby report the first two cases of PFO closure through the jugular veins guided by ICE from the arm in patients without any femoral options secondary to large burden of clot in the IVC. This novel technique can potentially save resources (anesthesia and TEE cardiologist), provide an option for patients without a femoral option and can avoid complications secondary to mechanical ventilation needed to perform TEE.
Keywords: PFO, IVC thrombus, ICE from the arm, RIJ PFO closure