Key result
Transseptal puncture for AF ablation is linked to transient de novo migraine-like headaches.
Why the study?
Catheter ablation for atrial fibrillation creates an iatrogenic atrial septal defect by transseptal puncture that may cause transient right-to-left shunt and migraine-like headache as a potential complication.
Case Report (n=1)
No
Migraine-like headache should be recognized as a potential transient complication following transseptal puncture for catheter ablation.
Transient migraine-like headache may follow AF ablation; case reports leave open incidence, causality, and management.
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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Kato et al. (2019) conducted a case report in Atrial fibrillation (n=1). Transseptal puncture for catheter ablation was evaluated on Occurrence of migraine-like headache. Transseptal puncture for catheter ablation of atrial fibrillation can cause de novo migraine-like headache, which in this case developed two days post-procedure and resolved spontaneously within one week.
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