Kato Yuji, Hayashi Takeshi, Kato Ritsushi, Takao Masaki
Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center, Japan.
Department of Cardiology, Saitama Medical University International Medical Center, Japan.
Intern Med. 2019 Aug 15;58(16):2393-2395. doi: 10.2169/internalmedicine.2519-18. Epub 2019 Apr 17.
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.
房颤导管消融术通过经房间隔穿刺造成医源性房间隔缺损，这可能会产生一过性右向左分流。我们遇到一名44岁男性，他在接受房颤冷冻球囊消融术后出现了新发的类似偏头痛的头痛。查阅文献后，我们发现了更多在术后一周内出现类似偏头痛的头痛且在三个月内自行缓解的病例。我们应认识到类似偏头痛的头痛是导管消融术的一种潜在并发症。
