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Published on: June 2, 2014
Migraine accompagnée after transseptal puncture
L Jordaens1, P Janse, T Szili-Torok
1Department of Cardiology, Thoraxcentre, Erasmus MC, Rotterdam, the Netherlands.
Summary
Transseptal puncture during atrial fibrillation ablation may cause new-onset migraine or worsen existing migraines in some patients. Most symptoms resolved within three months post-procedure.
Area of Science:
- Cardiology
- Neurology
- Medical Procedures
Background:
- Transseptal puncture is a key step in atrial fibrillation ablation.
- Migraine as a complication of this procedure has not been previously documented.
- Initial observations suggested a link between transseptal puncture and new or exacerbated migraines.
Purpose of the Study:
- To investigate the incidence of new-onset migraine and migraine exacerbation following transseptal puncture for atrial fibrillation ablation.
- To assess the temporal relationship between the procedure and migraine symptoms.
Main Methods:
- Prospective study evaluating patients undergoing pulmonary vein isolation using transseptal puncture.
- Utilized a 15 Fr sheath for transseptal access.
- Patients completed questionnaires at three months post-intervention to report headache and migraine symptoms.
Main Results:
- 8% of procedures were associated with new-onset migraine with ocular symptoms within three months.
- 7% of patients reported exacerbation of pre-existing migraine.
- Higher incidence of complaints observed in redo procedures.
- Most migraine symptoms resolved by the three-month follow-up.
Conclusions:
- Transseptal puncture for atrial fibrillation ablation can be associated with new or worsened migraine symptoms.
- These symptoms appear to be transient, with most resolving by three months.
- This finding has implications for patient follow-up protocols after ablation procedures.
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