I am a
Home I AM A Search Login

Papers of the Week

2019 Aug 15

Intern Med



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


Kato Y, Hayashi T, Kato R, Takao M
Intern Med. 2019 Aug 15; 58(16):2393-2395.
PMID: 30996181.


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.