Endovascular thrombectomy and post-procedural headache
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Endovascular thrombectomy and post-procedural headache. / Khan, Sabrina; Amin, Faisal Mohammad; Holtmannspötter, Markus; Hansen, Klaus; Florescu, Anna Maria; Fakhril-Din, Zainab; Petersen, Julie Falkenberg; Ghanizada, Hashmat; Ayata, Cenk; Gaist, David; Ashina, Messoud.
I: Journal of Headache and Pain, Bind 18, 10, 2017.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Endovascular thrombectomy and post-procedural headache
AU - Khan, Sabrina
AU - Amin, Faisal Mohammad
AU - Holtmannspötter, Markus
AU - Hansen, Klaus
AU - Florescu, Anna Maria
AU - Fakhril-Din, Zainab
AU - Petersen, Julie Falkenberg
AU - Ghanizada, Hashmat
AU - Ayata, Cenk
AU - Gaist, David
AU - Ashina, Messoud
PY - 2017
Y1 - 2017
N2 - BACKGROUND: We investigated the prevalence of post-procedural headache in patients who have undergone thrombectomy for ischemic stroke, and correlated history of migraine with risk of peri-procedural complications. A total of 314 patients underwent thrombectomy at the Danish National Hospital from January 2012 to December 2014. Eligible subjects were phone-interviewed using a purpose-developed semi-structured questionnaire according to the International Classification of Headache Disorders 3, beta version criteria.FINDINGS: Among 96 eligible subjects, there was a significant decrease in migraine (p = 0.022) within the first 3 months after EVT compared to 1 year before treatment, which was further evident at interview time (on average 1.6 years after EVT, p = 0.013). A minority of patients experienced headaches for the first time within 3 months of their EVT (migraine 2, TTH 9), which persisted at interview time for subjects with migraine. Out of 12 subjects with peri-procedural complications, 2 had a history of migraine with aura.CONCLUSION: Thrombectomy leads to a significant decrease in previously known migraine, and new onset of headache in a small subset of patients. A history of migraine does not appear to predispose to peri-procedural complications.
AB - BACKGROUND: We investigated the prevalence of post-procedural headache in patients who have undergone thrombectomy for ischemic stroke, and correlated history of migraine with risk of peri-procedural complications. A total of 314 patients underwent thrombectomy at the Danish National Hospital from January 2012 to December 2014. Eligible subjects were phone-interviewed using a purpose-developed semi-structured questionnaire according to the International Classification of Headache Disorders 3, beta version criteria.FINDINGS: Among 96 eligible subjects, there was a significant decrease in migraine (p = 0.022) within the first 3 months after EVT compared to 1 year before treatment, which was further evident at interview time (on average 1.6 years after EVT, p = 0.013). A minority of patients experienced headaches for the first time within 3 months of their EVT (migraine 2, TTH 9), which persisted at interview time for subjects with migraine. Out of 12 subjects with peri-procedural complications, 2 had a history of migraine with aura.CONCLUSION: Thrombectomy leads to a significant decrease in previously known migraine, and new onset of headache in a small subset of patients. A history of migraine does not appear to predispose to peri-procedural complications.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Female
KW - Follow-Up Studies
KW - Headache/epidemiology
KW - Humans
KW - Male
KW - Middle Aged
KW - Migraine Disorders/epidemiology
KW - Postoperative Complications/etiology
KW - Prevalence
KW - Stroke/surgery
KW - Thrombectomy/adverse effects
KW - Treatment Outcome
U2 - 10.1186/s10194-017-0719-0
DO - 10.1186/s10194-017-0719-0
M3 - Journal article
C2 - 28130625
VL - 18
JO - Journal of Headache and Pain
JF - Journal of Headache and Pain
SN - 1129-2369
M1 - 10
ER -
ID: 194648119