Sympathetic Blockade for the Management of Refractory Ventricular Tachycardia: A Case Report.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
21 Apr 2021
21 Apr 2021
Historique:
entrez:
21
4
2021
pubmed:
22
4
2021
medline:
29
7
2021
Statut:
epublish
Résumé
A 64-year-old man with a history of nonischemic cardiomyopathy (NICM) presented with electrical storm (ES). Episodes of ventricular tachycardia (VT) persisted despite endocardial catheter ablations and exhaustive pharmacotherapy. We used alternating regional anesthesia techniques, left stellate ganglion block, and proximal intercostal block to reduce sympathetic input to the heart, resulting in a significant decrease in VT burden. By using alternating catheter locations, we were able to maintain continuous sympathetic blockade for 31 days and bridge the patient to a successful orthotopic heart transplant.
Identifiants
pubmed: 33882033
doi: 10.1213/XAA.0000000000001456
pii: 02054229-202104000-00018
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e01456Informations de copyright
Copyright © 2021 International Anesthesia Research Society.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
Eifling M, Razavi M, Massumi A. The evaluation and management of electrical storm. Tex Heart Inst J. 2011; 38:111–121
Huang HD, Tamarisa R, Mathur N, et al. Stellate ganglion block: a therapeutic alternative for patients with medically refractory inappropriate sinus tachycardia? J Electrocardiol. 2013; 46:693–696
Rajesh MC, Deepa KV, Ramdas EK. Stellate ganglion block as rescue therapy in refractory ventricular tachycardia. Anesth Essays Res. 2017; 11:266–267
Hayase J, Patel J, Narayan SM, Krummen DE. Percutaneous stellate ganglion block suppressing VT and VF in a patient refractory to VT ablation. J Cardiovasc Electrophysiol. 2013; 24:926–928
Cao JM, Fishbein MC, Han JB, et al. Relationship between regional cardiac hyperinnervation and ventricular arrhythmia. Circulation. 2000; 101:1960–1969
Nademanee K, Taylor R, Bailey WE, Rieders DE, Kosar EM. Treating electrical storm: sympathetic blockade versus advanced cardiac life support-guided therapy. Circulation. 2000; 102:742–747
Mahajan A, Moore J, Cesario DA, Shivkumar K. Use of thoracic epidural anesthesia for management of electrical storm: a case report. Heart Rhythm. 2005; 2:1359–1362
Wink J, van Delft R, Notenboom RGE. Human adult cardiac autonomic innervation: controversies in anatomical knowledge and relevance for cardiac neuromodulation. Auton Neurosci. 2020; 227:102674
Vlassakov K, Vafai A, Ende D. A prospective, randomized comparison of ultrasonographic visualization of proximal intercostal block vs paravertebral block. BMC Anesthesiol. 2020; 20:13
Zinboonyahgoon N, Luksanapruksa P, Piyaselakul S, et al. The ultrasound-guided proximal intercostal block: anatomical study and clinical correlation to analgesia for breast surgery. BMC Anesthesiol. 2019; 19:94
Sanghai S, Abbott NJ, Dewland TA, et al. Stellate ganglion blockade with continuous infusion versus single injection for treatment of ventricular arrhythmia storm. JACC Clin Electrophysiol. Published online December 17, 2020. doi: 10.1016/j.jacep.2020.09.032
doi: 10.1016/j.jacep.2020.09.032
Bomberg H, Bayer I, Wagenpfeil S, et al. Prolonged catheter use and infection in regional anesthesia: a retrospective registry analysis. Anesthesiology. 2018; 128:764–773
Witt CM, Bolona L, Kinney MO, et al. Denervation of the extrinsic cardiac sympathetic nervous system as a treatment modality for arrhythmia. Europace. 2017; 19:1075–1083
Ajijola OA, Lellouche N, Bourke T, et al. Bilateral cardiac sympathetic denervation for the management of electrical storm. J Am Coll Cardiol. 2012; 59:91–92