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Association of interatrial shunts and migraine headaches: impact of transcatheter closure.

Authors
  • Azarbal, Babak
  • Tobis, Jonathan
  • Suh, William
  • Chan, Vicki
  • Dao, Catherine
  • Gaster, Richard
Type
Published Article
Journal
Journal of the American College of Cardiology
Publisher
Elsevier
Publication Date
Feb 15, 2005
Volume
45
Issue
4
Pages
489–492
Identifiers
PMID: 15708691
Source
Medline
License
Unknown

Abstract

Transcatheter closure of PFO or ASD results in complete resolution of MHA in 60% of patients (75% of patients with migraine and aura) and improvement in symptoms in 40% of the remaining patients. Interatrial communications may play a role in the etiology of MHA either through paradoxic embolism or humoral factors that escape degradation in bypassing the pulmonary circulation. A randomized trial is needed to determine whether transcatheter closure of interatrial shunts is an effective treatment for MHA.

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