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Stellate ganglion blockade and bilateral cardiac sympathetic denervation in patients with life‐threatening ventricular arrhythmias

2017; Wiley; Volume: 28; Issue: 8 Linguagem: Inglês

10.1111/jce.13249

1540-8167

Ricardo Cardona‐Guarache, Santosh K. Padala, Luis Velazco‐Davila, Anthony Cassano, Antonio Abbate, Kenneth A. Ellenbogen, Jayanthi N. Koneru,

Pain Management and Treatment

Abstract Autonomic modulation is being increasingly employed as a strategy to treat ventricular arrhythmias refractory to beta‐blockers, antiarrhythmic drugs, and catheter‐based ablation procedures. We report 6 patients with refractory ventricular tachycardia (VT) or ventricular fibrillation (VF) treated with stellate ganglion blockade (SGB) and/or bilateral cardiac sympathetic denervation (CSD). Our case series emphasizes the concept that the cardiac sympathetic nerves are important targets in the management of ventricular arrhythmias. SGB and CSD can be effective in suppressing VT/VF and can be offered to patients with refractory ventricular arrhythmias as an adjunct to conventional therapy.