Key result
Continuous left thoracic paravertebral block safely achieved sympathetic denervation and improved drug-refractory ventricular tachyarrhythmias in two patients.
Why the study?
Continuous ganglion block is increasingly used to help manage ventricular tachyarrhythmias, prompting evaluation of continuous left thoracic paravertebral block.
Does continuous left thoracic paravertebral block improve drug-refractory ventricular tachyarrhythmias in patients with electrical storm?
Case Report (n=2)
Does continuous left thoracic paravertebral block improve drug-refractory ventricular tachyarrhythmias in patients with electrical storm?
Answers are grounded in this paper and cite their sources.
Continuous left thoracic paravertebral block may be a safe and effective bridging or destination therapy for managing drug-refractory electrical storm.
Continuous ganglion block is increasingly being used to help manage ventricular tachyarrhythmias. We present the cases of 2 patients in whom we used continuous left thoracic paravertebral block to achieve sympathetic denervation and improvement in drug-refractory ventricular tachyarrhythmias. Whether as destination therapy or bridging therapy, we conclude that the block is safe, improves patients' comfort, and is superior in several ways to stellate ganglion block and other single-injection techniques.
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Smith et al. (2022) conducted a case report in Drug-refractory ventricular tachyarrhythmias (Electrical Storm) (n=2). Continuous left thoracic paravertebral block was evaluated on Sympathetic denervation and improvement in drug-refractory ventricular tachyarrhythmias. Continuous left thoracic paravertebral block safely achieved sympathetic denervation and improved drug-refractory ventricular tachyarrhythmias in two patients.
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