Cardiac sympathetic denervation via a transtracheal approach: It’s a long way to Tipperary
2018; Elsevier BV; Volume: 16; Issue: 1 Linguagem: Inglês
10.1016/j.hrthm.2018.09.020
ISSN1556-3871
AutoresPeter J. Schwartz, Luigi Pugliese,
Tópico(s)Pain Management and Treatment
ResumoThe intriguing history of the clinical attempts to protect patients from life-threatening cardiac arrhythmias by surgically interfering with the sympathetic innervation of the heart goes back more than 100 years 1 Schwartz P.J. De Ferrari G.M. Pugliese L. Cardiac sympathetic denervation 100 years later: Jonnesco would have never believed it. Int J Cardiol. 2017; 237: 25-28 Abstract Full Text Full Text PDF PubMed Scopus (23) Google Scholar and has been thoroughly reviewed. 2 Schwartz P.J. The rationale and the role of left stellectomy for the prevention of malignant arrhythmias. Ann N Y Acad Sci. 1984; 427: 199-221 Crossref PubMed Scopus (82) Google Scholar , 3 Schwartz P.J. Cardiac sympathetic denervation to prevent life-threatening arrhythmias. Nat Rev Cardiol. 2014; 11: 346-353 Crossref PubMed Scopus (160) Google Scholar Whenever novel approaches are proposed, the first step should be a fair assessment of the current situation. Minimally invasive transtracheal cardiac plexus block for sympathetic neuromodulationHeart RhythmVol. 16Issue 1PreviewBilateral thoracoscopic stellectomy has antiarrhythmic effects, but the procedure is invasive with associated morbidity. Sympathetic nerves from both stellate ganglia form the deep cardiac plexus (CP) in the aortopulmonary window, anterior to the trachea. Full-Text PDF
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