Stellate ganglion local anesthetic blockade and neurolysis for the treatment of refractory ventricular fibrillation

A & a Case Reports
David F HulataRobert W Hurley

Abstract

Electrical storm (ES) is a syndrome characterized by recurrent ventricular fibrillation or tachycardia. It is a major clinical challenge and is often unresponsive to conventional drug therapy; instead, its treatment requires multiple attempts at electrical defibrillation. Sympathetic hyperactivity is an important modulator of ventricular arrhythmias, including ES. We report a case of ES treated safely and effectively with pharmacologic sympathectomy involving diagnostic continuous stellate ganglion blockade with local anesthetic followed by therapeutic neurolysis. This technique reduced ES in a patient for whom conservative medical and interventional procedures were ineffective.

References

Jan 1, 1984·Annals of the New York Academy of Sciences·P J Schwartz
Jun 23, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Rishin A PatelKieran A Slevin

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Citations

Aug 24, 2017·Journal of Cardiovascular Electrophysiology·Marat FudimJonathan P Piccini
Oct 25, 2020·Current Hypertension Reports·Arun GaneshMarat Fudim
Jan 22, 2021·The Journal of International Medical Research·Yunyao Xu, Yuenong Zhang
Jan 11, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Erica D WittwerYong-Mei Cha
Dec 19, 2017·Journal of Clinical Anesthesia·Robyn S WeismanRalf E Gebhard

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