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August 1, 2021European Heart Journal - Case ReportsOpen Access

Bilateral stereotactic radiosurgical stellate ganglion ablation eliminated angina in a single patient over a 1-year follow-up, with no clinically relevant early or late complications.

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Why the study?

Does stereotactic radiosurgical stellate ganglion ablation relieve symptoms in patients with chronic refractory angina pectoris?

Population

1 heart failure patient after myocardial infarction with chronic refractory angina pectoris

Design

Case_report

Follow-up

1 year

Key result

Bilateral stereotactic radiosurgical stellate ganglion ablation eliminated angina in a single patient over a 1-year follow-up, with no clinically relevant early or late complications.

Authors

MHMiroslav HudecOJOtakar JiravskýRŠRadim Špaček

Discussion

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Member takes

Overview

Sympathectomy may relieve refractory angina in select cases; leaves open the need for prospective trials before wider adoption.

Study Design

Type

Case Report (n=1)

Structured PICO

Does stereotactic radiosurgical stellate ganglion ablation relieve symptoms in patients with chronic refractory angina pectoris?

P
Population
1 heart failure patient after myocardial infarction with chronic refractory angina pectoris, followed for 1 year.
I
Intervention
Bilateral stereotactic radiosurgical stellate ganglion (SG) ablation using a linear accelerator (CyberKnife)
O
Outcome
Relief of angina and occurrence of complicationspatient reported

Stereotactic radiosurgical stellate ganglion ablation may be a feasible, minimally invasive, and low-risk procedure for providing long-term relief in patients with chronic refractory angina pectoris.

Limitations

  • This procedure needs to be evaluated in larger patient populations.
  • Single patient case report
  • Needs to be evaluated in larger patient populations

Cite This Study

Hudec et al. (2021) conducted a case report in Chronic refractory angina pectoris (n=1). Bilateral stereotactic radiosurgical stellate ganglion ablation was evaluated on Angina relief and complications. Bilateral stereotactic radiosurgical stellate ganglion ablation eliminated angina in a single patient over a 1-year follow-up, with no clinically relevant early or late complications.

synapsesocial.com/papers/6ab23eaaf50bb7fa6fbf4ecbhttps://doi.org/10.1093/ehjcr/ytab184
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Stereotactic radiosurgery as neuromodulation of refractory angina: an initial case series2025 · 2 citations
  2. 2Neuronal sympathetic block for ventricular arrhythmias: one size may not fit all2023 · 5 citations
  3. 3Usefulness of stellate ganglion block for refractory angina pectoris2018 · 11 citations
  4. 4Emergent Phenol Injection of Bilateral Stellate Ganglion for Management of Refractory Malignant Ventricular Arrhythmias2020 · 4 citations
  5. 5Management of angina pectoris: the role of spinal cord stimulation.2009 · 16 citations