Endovascular thrombectomy and post-procedural headache

Sabrina Khan, Faisal Mohammad Amin, Markus Holtmannspötter, Klaus Hansen, Anna Maria Florescu, Zainab Fakhril-Din, Julie Falkenberg Petersen, Hashmat Ghanizada, Cenk Ayata, David Gaist, Messoud Ashina

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Abstract

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.

Original languageEnglish
Article number10
JournalJournal of Headache and Pain
Volume18
Number of pages4
ISSN1129-2369
DOIs
Publication statusPublished - 1. Dec 2017

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Interviews
Migraine with Aura
Surveys and Questionnaires

Keywords

  • Complications
  • EVT
  • Migraine
  • Risk
  • Stroke

Cite this

Khan, S., Amin, F. M., Holtmannspötter, M., Hansen, K., Florescu, A. M., Fakhril-Din, Z., ... Ashina, M. (2017). Endovascular thrombectomy and post-procedural headache. Journal of Headache and Pain, 18, [10]. https://doi.org/10.1186/s10194-017-0719-0
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. / Endovascular thrombectomy and post-procedural headache. In: Journal of Headache and Pain. 2017 ; Vol. 18.
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abstract = "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.",
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Khan, S, Amin, FM, Holtmannspötter, M, Hansen, K, Florescu, AM, Fakhril-Din, Z, Petersen, JF, Ghanizada, H, Ayata, C, Gaist, D & Ashina, M 2017, 'Endovascular thrombectomy and post-procedural headache', Journal of Headache and Pain, vol. 18, 10. https://doi.org/10.1186/s10194-017-0719-0

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.

In: Journal of Headache and Pain, Vol. 18, 10, 01.12.2017.

Research output: Contribution to journalJournal articleResearchpeer-review

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 - 2017/12/1

Y1 - 2017/12/1

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 - Complications

KW - EVT

KW - Migraine

KW - Risk

KW - Stroke

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 -

Khan S, Amin FM, Holtmannspötter M, Hansen K, Florescu AM, Fakhril-Din Z et al. Endovascular thrombectomy and post-procedural headache. Journal of Headache and Pain. 2017 Dec 1;18. 10. https://doi.org/10.1186/s10194-017-0719-0