Left stellate ganglion block, a rescue treatment for ventricular arrhythmia refractory to radiofrequency catheter ablation: A care-compliant case report

4Citations
Citations of this article
19Readers
Mendeley users who have this article in their library.

Abstract

RATIONALE: Stellate Ganglion Block (SGB) provides a blockade of sympathetic signals from the sympathetic chain and appears to be a promising method of controlling refractory ventricular arrhythmias, but there are scanty data in the literature. PATIENT CONCERNS: Herein, we describe a 59-year-old male patient with a history of non-ischemic cardiomyopathy and suffering from frequent VT episodes, who received ICD implantation and regular amiodarone medication control. DIAGNOSES: Monomorphic VT refractory to standard medication control and focal extensive catheter ablation. INTERVENTIONS: Left Stellate Ganglion Block (LSGB) was performed under ultrasound-assisted injection at the C6 level using a 10 ml solution of 0.4% lidocaine and 0.5% bupivacaine. OUTCOMES: In our case, refractory VT subsided and sinus rhythm was retained immediately after LSGB. There were no VT episodes for at least 3 hours during the inter-hospital transfer, which did not involve any specific complications. LESSONS: LSGB may provide effective VT control and play an important role in rescue and bridge therapy before catheter ablation.

Cite

CITATION STYLE

APA

Yang, S. C., Wu, C. C., & Hsieh, Y. J. (2019). Left stellate ganglion block, a rescue treatment for ventricular arrhythmia refractory to radiofrequency catheter ablation: A care-compliant case report. Medicine, 98(44), e17790. https://doi.org/10.1097/MD.0000000000017790

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free