About this trial
This study is testing a new approach to help people with migraine headaches. Researchers want to find out if using electrical stimulation to affect blood flow in the external carotid artery is safe and practical for helping control headaches.
The goal of the study is to determine whether this approach could improve headache symptoms and overall outcomes for people with migraines.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18
Chronic migraine or status migrainosus, or craniofacial pain refractory to maximal medical therapy who are undergoing MMA IA lidocaine infusion.
Subject has provided informed consent.
Disqualifiers
Known allergies to lidocaine
Seizure disorder, history of seizures, or increased seizure susceptibility
Intracranial vascular malformations or dural AVF
Hemodynamic instability, any condition where brief hemodynamic shifts may pose risk
Trial design
Single group
Treatments tested in this trial
Cadwell Cascade 32 PRO
DeviceCascade 32 PRO will be to gently deliver electrical pulses.
Treatment groups
Trial outcomes
Primary outcomes
Safety of Bipolar external carotid artery circulation Stimulation
Safety will be evaluated based on the ability to complete the stimulation procedure without technical failure, serious complications, or procedure-related neurological deficits.
Feasibility of Bipolar external carotid artery circulation Stimulation
Feasibility will be demonstrated if stimulation can be successfully initiated and completed using the intended bipolar approach.
Secondary outcomes
Headache Severity Measured by the Visual Analog Scale (VAS)
Headache severity will be assessed using the Visual Analog Scale (VAS), a validated 0-10 cm scale in which participants indicate headache intensity by marking a point along a continuous line representing "no pain" to "worst pain."
Physiologic Responses During Stimulation
Physiologic responses, including heart rate, blood pressure, respiratory rate, and oxygen saturation, will be recorded during active stimulation to assess acute physiologic effects.
Patient-Reported Qualitative Outcomes
Patient-reported qualitative outcomes includes perceived headache relief, tolerability of the intervention, and the presence of any new or worsening symptoms.
Number of Adverse Events
Adverse events and serious adverse events including seizures, vascular complications, and signs of lidocaine toxicity.
Sponsors and contacts
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