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Updated: Mar 8, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Endovascular thrombectomy and post-procedural headache.

Sabrina Khan1, Faisal Mohammad Amin1, Markus Holtmannspötter2

  • 1Danish Headache Center, Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

The Journal of Headache and Pain
|January 29, 2017
PubMed
Summary
This summary is machine-generated.

Endovascular thrombectomy for ischemic stroke significantly reduced migraine prevalence post-procedure. A history of migraine did not increase peri-procedural complication risks in stroke patients.

Keywords:
ComplicationsEVTMigraineRiskStroke

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Area of Science:

  • Neurology
  • Stroke Medicine
  • Headache Disorders

Background:

  • Investigated post-procedural headache prevalence in ischemic stroke patients undergoing thrombectomy.
  • Examined the correlation between migraine history and peri-procedural complications.

Purpose of the Study:

  • To determine the impact of endovascular thrombectomy (EVT) on pre-existing migraine.
  • To assess if a history of migraine increases the risk of complications during EVT.

Main Methods:

  • Phone interviews with 96 eligible patients who underwent EVT for ischemic stroke.
  • Utilized a semi-structured questionnaire based on International Classification of Headache Disorders criteria.
  • Data collected from January 2012 to December 2014 at a national hospital.

Main Results:

  • Significant decrease in migraine prevalence within 3 months post-EVT (p=0.022) and at follow-up (p=0.013).
  • A small number of patients (migraine 2, TTH 9) experienced new-onset headaches post-EVT.
  • Two of 12 patients with peri-procedural complications had a history of migraine with aura.

Conclusions:

  • Endovascular thrombectomy significantly reduces migraine frequency in stroke patients.
  • New-onset headaches can occur in a minority of patients post-thrombectomy.
  • Migraine history is not a significant risk factor for peri-procedural complications during EVT.