Percutaneous stellate ganglion block suppressing VT and VF in a patient refractory to VT ablation.
Percutaneous stellate ganglion block suppressing VT and VF in a patient refractory to VT ablation.
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DOI：
10.1111/jce.12138
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发表时间：
2013-08
影响因子：
2.7
通讯作者：
Krummen DE
中科院分区：
文献类型：
--
作者：
Hayase J;Patel J;Narayan SM;Krummen DE
电风暴是一种在短时间内出现多次室性心动过速（VT）或心室颤动（VF）发作的病症。
一名80岁男性，有缺血性心肌病病史，出现多次植入式心律转复除颤器（ICD）电击。作为最后的手段，他在透视引导下先后接受了经皮左侧星状神经节阻滞，随后是右侧星状神经节阻滞。自出院以来，他每两周交替进行左侧和右侧星状神经节阻滞治疗，并且未再出现ICD电击。
这个病例说明了持续的、临时性的经皮星状神经节阻滞在抑制室性心律失常发生方面的潜力。
Electrical storm is a condition characterized by multiple episodes of ventricular tachycardia (VT) or ventricular fibrillation (VF) in a short period of time. An 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. This case illustrates the potential of ongoing, temporary percutaneous stellate ganglion blockade in suppressing ventricular arrhythmogenesis.