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Case Reports
Radiofrequency Ablation of the Stellate Ganglion for Management of Acute Digital Ischemia: A Case Report.
- Nitin K Sekhri, Shalvi Parikh, and R Marcus Foo.
- From the Department of Anesthesiology, Westchester Medical Center, Valhalla, New York.
- A A Pract. 2018 Oct 1; 11 (7): 189-192.
AbstractThe authors present a report of a pulsed radiofrequency ablation of the stellate ganglion performed on a patient with microemboli to the hand from a thrombosed abandoned arteriovenous fistula. The patient was initially managed using vasodilators and anticoagulation. However, the patient's skin mottling, pain, and decreased strength persisted. Ablation of the stellate ganglia increased perfusion to his hand and likely prevented amputation that has lasted for approximately 1 year. While radiofrequency ablation is more commonly used for pain syndromes, this is an example of its use in the treatment and potential treatment of acute ischemia.
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