Key result
Emergent percutaneous bilateral stellate ganglion ablation using bupivacaine and phenol resulted in a dramatic reduction in ventricular arrhythmias in two patients with electrical storm.
Why the study?
Management of incessant electrical storm is poorly defined.
Does emergent percutaneous bilateral stellate ganglion ablation with phenol injection reduce malignant ventricular arrhythmias in patients with electrical storm?
Population
2 patients with deteriorating hemodynamics, progressive ventricular arrhythmias, and worsening heart failure
Comparison
Emergent percutaneous fluoroscopically-guided bilateral stellate ganglion ablation with bupivacaine and phenol
Design
Two case studies
Authors
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Suggests potential rescue option in refractory electrical storm; leaves open need for prospective validation.
Case Report (n=2)
Does emergent percutaneous bilateral stellate ganglion ablation with phenol injection reduce malignant ventricular arrhythmias in patients with electrical storm?
Emergent percutaneous bilateral stellate ganglion ablation with phenol injection is a rapid and effective procedure for managing refractory electrical storm.
Luke et al. (2020) conducted a case report in Incessant electrical storm / malignant ventricular arrhythmias (n=2). Emergent percutaneous bilateral stellate ganglion ablation (SGA) was evaluated on Reduction in ventricular arrhythmias. Emergent percutaneous bilateral stellate ganglion ablation using bupivacaine and phenol resulted in a dramatic reduction in ventricular arrhythmias in two patients with electrical storm.
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