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

2017 ◽  
Vol 28 (8) ◽  
pp. 903-908 ◽  
Author(s):  
Ricardo Cardona-Guarache ◽  
Santosh K. Padala ◽  
Luis Velazco-Davila ◽  
Anthony Cassano ◽  
Antonio Abbate ◽  
...  
2021 ◽  
pp. 24-35
Author(s):  
Ray K Chihara ◽  
Edward Y Chan ◽  
Leonora M Meisenbach ◽  
Min P` KIM

Ventricular arrhythmias are potentially life-threatening disorders that are commonly treated with medications, catheter ablation and implantable cardioverter defibrillator (ICD). Adult patients who continue to be symptomatic, with frequent ventricular arrhythmia cardiac events or defibrillation from ICD despite medical treatment, are a challenging subgroup to manage. Surgical cardiac sympathetic denervation has emerged as a possible treatment option for people refractory to less invasive medical options. Recent treatment guidelines have recommended cardiac sympathectomy for ventricular tachycardia (VT) or VT/fibrillation storm refractory to antiarrhythmic medications, long QT syndrome, and catecholaminergic polymorphic VT, with much of the data pertaining to pediatric literature. However, for the adult population, the disease indications, complications, and risks of cardiac sympathectomy are less understood, as are the most effective surgical cardiac denervation techniques for this patient demographic. This systematic review navigates available literature evaluating surgical denervation disease state indications, techniques, and sympathectomy risks for medically refractory ventricular arrhythmia in the adult patient population.


Author(s):  
Akram Farran ◽  
Daniel Farinas Lugo ◽  
Joseph Boyer

Genetic syndromes such as Brugada syndrome can lead to lethal ventricular arrhythmias. Cardiac Sympathetic Denervation has been shown to be effective in ameliorating refractory ventricular arrhythmias. We present a 33-year-old black female with a past medical history of Brugada syndrome with an implantable cardiac defibrillator (ICD), who presented with refractory ventricular tachycardia/atrial fibrillation leading to cardiogenic shock, requiring Extracorporeal membrane oxygenation (ECMO). The patient subsequently underwent bilateral stellate ganglion sympathetic denervation in the setting of refractory ventricular arrhythmias. We present this case report to showcase that thoracoscopic bilateral cardiac sympathetic denervation can be an effective definitive treatment option for ventricular arrhythmias refractory to medical management.


2017 ◽  
Vol 69 (25) ◽  
pp. 3070-3080 ◽  
Author(s):  
Marmar Vaseghi ◽  
Parag Barwad ◽  
Federico J. Malavassi Corrales ◽  
Harikrishna Tandri ◽  
Nilesh Mathuria ◽  
...  

EP Europace ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 606-606
Author(s):  
Simone Savastano ◽  
Luigi Pugliese ◽  
Enrico Baldi ◽  
Veronica Dusi ◽  
Guido Tavazzi ◽  
...  

Heart Rhythm ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 360-366 ◽  
Author(s):  
Marmar Vaseghi ◽  
Jean Gima ◽  
Christopher Kanaan ◽  
Olujimi A. Ajijola ◽  
Alexander Marmureanu ◽  
...  

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