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