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J. Cardiovasc. Electrophysiol. · Aug 2013
Case ReportsPercutaneous stellate ganglion block suppressing VT and VF in a patient refractory to VT ablation.
- Justin Hayase, Jigar Patel, Sanjiv M Narayan, and David E Krummen.
- University of California San Diego, San Diego, California, USA.
- J. Cardiovasc. Electrophysiol. 2013 Aug 1; 24 (8): 926-8.
IntroductionElectrical storm is a condition characterized by multiple episodes of ventricular tachycardia (VT) or ventricular fibrillation (VF) in a short period of time.Case PresentationAn 80-year-old male with a history of ischemic cardiomyopathy presented with multiple ICD shocks. As a last resort, he underwent percutaneous left, followed by right, stellate ganglion block under fluoroscopic guidance. Since his discharge, he has been managed with alternating, biweekly left and right stellate ganglion blocks, and he has received no ICD shocks.DiscussionThis case illustrates the potential of ongoing, temporary percutaneous stellate ganglion blockade in suppressing ventricular arrhythmogenesis.© 2013 Wiley Periodicals, Inc.
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