Key result
Trans-septal puncture for catheter ablation is linked to acutely triggered migraines in several cases.
Case Report
No
Trans-septal puncture for left atrial access during catheter ablation can acutely trigger migraines, highlighting a potential iatrogenic complication related to intra-cardiac shunting.
May trigger periprocedural migraine; hypothesis-generating case reports leave open any causal link or practice change.
There is increasing recognition that migraine with aura may be associated with intra-cardiac shunting because of a patent foramen ovale. Radio-frequency ablation to treat cardiac arrhythmias is an increasingly popular means of treating cardiac arrhythmias. Trans-septal puncture is routinely performed to gain access to the left atrium in order to ablate arrhythmias originating in the left heart. We report several cases of migraine triggered acutely by trans-septal puncture at our center.
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Saravanan et al. (2009) conducted a case report in Cardiac arrhythmias. Trans-septal puncture was evaluated on Migraine triggered acutely. Trans-septal puncture for catheter ablation of cardiac arrhythmias was observed to acutely trigger migraine in several cases.
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