PubHawk
N Engl J Med September 2017 PMID 28902590

Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke.

Jeffrey L Saver, John D Carroll, David E Thaler, Richard W Smalling, Lee A MacDonald, David S Marks, David L Tirschwell

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Mentions

115
Peak: 64 in Jan 2019
across 5 sources since Jan 2019

Extended reach

480,223
potential audience

Total likes

148

Video views

178,167

Mentions per month

Jan 2019 – Dec 2024

Where it's discussed

  • X / Twitter75 posts
  • News22 articles
  • Facebook11 posts
  • Blogs5 articles
  • YouTube2 videos

AI synopsis

What people are saying

The social discussions consistently emphasize the positive implications of the research, citing examples like extended follow-up results and the reduction in recurrent strokes, using enthusiastic language such as 'demostraron beneficio' and 'more proof,' which reflect high regard and engagement. The tone suggests that participants perceive the study as influential and meaningful for clinical practice.

AgreementModerate agreement

Most discussions support the study’s findings that PFO closure reduces stroke recurrence, emphasizing the benefits shown in trials like RESPECT.

InterestHigh interest

Participants are highly engaged, referencing details like long-term follow-up results and clinical implications, indicating strong interest in the topic.

EngagementModerate engagement

Comments include reflections on the significance of extended observation periods and implications for clinical practice, showing active engagement.

ImpactModerate impact

The discussions highlight the potential for changing treatment protocols and improving patient outcomes, suggesting a noticeable impact.

Abstract in brief

  • The study investigated whether closing a patent foramen ovale (PFO) reduces the risk of recurrent ischemic strokes in patients who previously experienced a cryptogenic stroke, comparing PFO closure to medical therapy over an extended follow-up period.
  • Results showed that patients who underwent PFO closure had a lower rate of recurrent ischemic strokes (0.58 per 100 patient-years) compared to those receiving medical therapy (1.07 per 100 patient-years), indicating a potential benefit of PFO closure.
  • The findings suggest that PFO closure may significantly reduce recurrence risk, especially for strokes of undetermined cause, with hazard ratios indicating nearly a 60-70% reduction in hazard compared to medical therapy.]
Read the full abstract

Top posts

Most liked on X and Bluesky
RTHahnMD
@hahn_rt · X

RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke pts https://t.co/Wy9YTw9573 Now MORE proof in #JACCJournals. 201 w/cryptogenic embolism https://t.co/X84Y8j99gD #EchoFirst #PFO https://t.co/xYv1rX2Tuj

Jan 25, 2019 · 143 likes · 75 shares · 15,412 followers View post →
Abdulla A. Damluji, MD, PhD
@DrDamluji · X

https://t.co/y0Ah0B8mzH

Jul 30, 2021 · 2 likes · 1 share · 15,944 followers View post →
Juan Senior
@jsenior64 · X

Extender el período de observación del RESPECT Trial a 10 años lo convierte en una cohorte y sus resultados exploratorios. Demostraron beneficio. https://t.co/xbDP7NLFa8

Apr 8, 2022 · 1 like · 1 share · 11,084 followers View post →
Sridhara S Yaddanapudi MD
@syaddana_neuro · X

@J_Rosales_MD @WorldStrokeEd @vascularnotes @sheilambrasil If you have PFO with high risk features would close given data from long term 6 yr follow up of respect trial https://t.co/bbH6nigs3a

Jul 6, 2021 · 1 like · 2,553 followers View post →
Sam Harper
@sbh4th · X

@ProfMattFox A positive step, yes, but will it change the problem of binary thinking? I'm worried that we'll just see more papers with 95% CI limits of 1.001 or 0.999, like this one from a couple of years ago: https://t.co/sp80J57ZBg https://t.co/0owbPao34f

Jul 19, 2019 · 1 like · 1,158 followers View post →
Dr. Purvi Parwani
@purviparwani · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 39,899 followers View post →

All mentions

Dr. Yasser Gabr
@yasser_gabr · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Dec 5, 2024 · 75 shares · 80 followers View post →
Eduardo Martínez
@Eduardomtzv55 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Sep 8, 2024 · 75 shares · 259 followers View post →
David R. Axline, MD, FACC
@PU84 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jun 17, 2023 · 75 shares · 542 followers View post →
Linda
@wordfinga · X

RT @jsenior64: Extender el período de observación del RESPECT Trial a 10 años lo convierte en una cohorte y sus resultados exploratorios. D…

Apr 12, 2022 · 1 share · 4,584 followers View post →
Juan Senior
@jsenior64 · X

Extender el período de observación del RESPECT Trial a 10 años lo convierte en una cohorte y sus resultados exploratorios. Demostraron beneficio. https://t.co/xbDP7NLFa8

Apr 8, 2022 · 1 like · 1 share · 11,084 followers View post →
Johns Hopkins Frailty Science #FrailtyFighter
@FrailtyScience · X

RT @DrDamluji: https://t.co/y0Ah0B8mzH

Jul 30, 2021 · 1 share · 2,264 followers View post →
Abdulla A. Damluji, MD, PhD
@DrDamluji · X

https://t.co/y0Ah0B8mzH

Jul 30, 2021 · 2 likes · 1 share · 15,944 followers View post →
Sridhara S Yaddanapudi MD
@syaddana_neuro · X

@J_Rosales_MD @WorldStrokeEd @vascularnotes @sheilambrasil If you have PFO with high risk features would close given data from long term 6 yr follow up of respect trial https://t.co/bbH6nigs3a

Jul 6, 2021 · 1 like · 2,553 followers View post →
TMK C. Fujimoto
@tmksnl · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Aug 29, 2020 · 75 shares · 139 followers View post →
Sam Harper
@sbh4th · X

@ProfMattFox A positive step, yes, but will it change the problem of binary thinking? I'm worried that we'll just see more papers with 95% CI limits of 1.001 or 0.999, like this one from a couple of years ago: https://t.co/sp80J57ZBg https://t.co/0owbPao34f

Jul 19, 2019 · 1 like · 1,158 followers View post →
iklil
@iklilce · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Feb 13, 2019 · 75 shares · 12 followers View post →
Ethical GmbH
@Ethicalgmbh · X

Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke | NEJM https://t.co/Ld8Gqhk3v0 https://t.co/Gavt8FeTto

Jan 29, 2019 · 487 followers View post →
Indonesian Heart Association PERKI
@inaheartperki · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 28, 2019 · 75 shares · 2,378 followers View post →
Yoran Hummel
@__YmH_ · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 27, 2019 · 75 shares · 187 followers View post →
SheikYerbouti
@Ho_oleilana2 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 27, 2019 · 75 shares · 368 followers View post →
Rocio Eiros Bachiller
@reirosbachiller · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 27, 2019 · 75 shares · 453 followers View post →
Gökhan Kahveci
@kahvecimd · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 27, 2019 · 75 shares · 1,569 followers View post →
CAS CVT Section
@CAS_CVT · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 27, 2019 · 75 shares · 320 followers View post →
سليم عبدالله عبدالله الشوخي
@Selim_ElShawkhi · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 27, 2019 · 75 shares · 50 followers View post →
Rashidalballa
@RashidAlballaa · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 27, 2019 · 75 shares · 260 followers View post →
Debbie C Reg PT
@Chili_Deb · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 701 followers View post →
Marcelo
@CheloNicora · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 160 followers View post →
Dr.Mughal
@mughal381 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 1,696 followers View post →
Gregor Heitzinger
@g_heitzinger · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 70 followers View post →
Aurelio Pinheiro, MD PhD
@md_pinheiro · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 513 followers View post →
Nirman Bhatia, MD
@NirmanBhatia · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 3,084 followers View post →
Paul Mahoney
@PaulMahoneyMD · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 2,468 followers View post →
Faheem Ahmad
@fnahmad1 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 33 followers View post →
Marq Patton, DO, FACC, FSCAI, FSVM, FASE, RPVI
@MarqPatton · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 1,924 followers View post →
Ali Hama Amin, MD, FACC
@alihamaamin · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 1,064 followers View post →
Jerrold Levy, MD
@JerroldLevy · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 2,475 followers View post →
ARTURO MUNIZ
@CARDIOMUNIZ · X

El cierre del FOP reduce el embolismo https://t.co/yUR9QO3eD4

Jan 26, 2019 · 113 followers View post →
Wei-Guo Ma, MD
@Dr_Ma_of_PUMC · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 2,400 followers View post →
Bhavik Khatri
@bhavikstan · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 115 followers View post →
Donal
@DonalErwan · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 3,116 followers View post →
Gabriele Crimi, MD.
@crimigabriele · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 799 followers View post →
EKTORMOON
@EKTORMOON · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 99 followers View post →
Maral Ouzounian
@OuzounianMD · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 7,237 followers View post →
Jihan Kim
@JihanKim11 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 107 followers View post →
Pedro Valdes DO FACC
@VTpete412 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 141 followers View post →
Corine Aboa-Eboulé
@corinne8154 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 234 followers View post →
Victor Farah, MD
@victorfarah75 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 279 followers View post →
Ricardo Martínez
@riccmartinez · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 365 followers View post →
Marc M. Vorpahl, MD
@MarcVorpahl · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 2,437 followers View post →
Diana Domingo Valero
@Diana_DoVa · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 519 followers View post →
Dr. Hamad Al Badi
@DrEmaraty · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 1,835 followers View post →
Dr Jean Pierre Laroche #vacciné 6.0
@Echoraljpangio · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 2,717 followers View post →
echobasics
@echobasics · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 3,476 followers View post →
Rafael de la Espriella
@rdelaespriella · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 1,864 followers View post →
Andreas Mitsis
@mitsis_andreas · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 299 followers View post →
billel abboub
@biabboub · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 810 followers View post →
Dr. Purvi Parwani
@purviparwani · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 39,899 followers View post →
Haroon Latif
@latmo942 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 650 followers View post →
Fabien Praz
@FabienPraz · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 1,570 followers View post →
Manuel Gaxiola
@cardiogax · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 7,994 followers View post →
Hugo Zanella
@hzanellamd · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 26, 2019 · 75 shares · 1,020 followers View post →
Columbia Valve Center
@HeartValveCntr · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 547 followers View post →
Yamile Muñoz Pérez, MD
@yamilemp · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 123 followers View post →
Mario Vargas Galgani
@mariovar55 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 4,567 followers View post →
Ibrahim Showaihi
@showaihi · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 194 followers View post →
American Society of Echocardiography
@ASE360 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 33,961 followers View post →
Ritu Thamman MD
@iamritu · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 31,832 followers View post →
Philippe Pibarot
@PPibarot · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 6,843 followers View post →
Pushpa Shivaram MD FACC
@PushpaShivaram · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 4,227 followers View post →
Edinson Garcia. MD
@GARCIAEDINSON95 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 6,391 followers View post →
Journal of Cardiothoracic and Vascular Anesthesia
@JCVAonline · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 9,718 followers View post →
Judy Tingley
@JETingley · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 290 followers View post →
Antony Kaliyadan, MD
@KaliyadanMD · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 489 followers View post →
José María Hernández
@chemaimagencv · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 617 followers View post →
William Suh, MD
@willsuh76 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 15,602 followers View post →
Roberto Garcia
@robaleg · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 184 followers View post →
Abdulla A. Damluji, MD, PhD
@DrDamluji · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 15,944 followers View post →
miguel piñón
@miguelpinon_73 · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 1,007 followers View post →
Abbas (Reza) Emaminia
@RezaEmaminia · X

RT @hahn_rt: RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke…

Jan 25, 2019 · 75 shares · 5,077 followers View post →
RTHahnMD
@hahn_rt · X

RESPECT trial 980 pts showed closure of patent foramen ovale reduces risk of recurrent stroke in cryptogenic ischemic stroke pts https://t.co/Wy9YTw9573 Now MORE proof in #JACCJournals. 201 w/cryptogenic embolism https://t.co/X84Y8j99gD #EchoFirst #PFO https://t.co/xYv1rX2Tuj

Jan 25, 2019 · 143 likes · 75 shares · 15,412 followers View post →