Stroke may be due to a variety of causes some of which are due to the heart and circulation. In hypertension there may be bleeds in the brain. Blood clot may arise in the heart and travel to the brain. The majority occur in the left atrial appendage or via the PFO. Dr. Shapiro performs the majority of his procedures on the left atrial appendage and Patent Foramen Ovale to prevent recurrent stroke. He has a wide expertise in the area of stroke in the heart and runs a well received training course.

Balloon delivering a stentAn echocardiogram during AGA closure of a small ASD in a patient with a recent stroke.