Migraine-like Headache after Transseptal Puncture for Catheter Ablation: A Case Report and Review of the Literature

Catheter ablation for atrial fibrillation creates an iatrogenic atrial septal defect by transseptal puncture, which may produce a transient right-to-left shunt. We encountered a 44-year-old man who presented with de novo migraine-like headache after cryoballoon ablation for atrial fibrillation. On r...

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Detalles Bibliográficos
Autores principales: Kato, Yuji, Hayashi, Takeshi, Kato, Ritsushi, Takao, Masaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6746642/
https://www.ncbi.nlm.nih.gov/pubmed/30996181
http://dx.doi.org/10.2169/internalmedicine.2519-18
Descripción
Sumario:Catheter ablation for atrial fibrillation creates an iatrogenic atrial septal defect by transseptal puncture, which may produce a transient right-to-left shunt. We encountered a 44-year-old man who presented with de novo migraine-like headache after cryoballoon ablation for atrial fibrillation. On reviewing the literature, we found additional cases in which migraine-like headache occurred within one week after the procedure and spontaneously within three months. We should recognize migraine-like headache as a potential complication of catheter ablation.

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