Dr. Narayan received educational support and/or honoraria from Medtronic, St. Jude Medical, Biotronik, and Boston Scientific; he holds equity in Topera. Dr. Krummen is supported by a grant from the American Heart Association 10BGIA3500045. Other authors: No disclosures.
Percutaneous Stellate Ganglion Block Suppressing VT and VF in a Patient Refractory to VT Ablation
Article first published online: 9 APR 2013
© 2013 Wiley Periodicals, Inc.
Journal of Cardiovascular Electrophysiology
Volume 24, Issue 8, pages 926–928, August 2013
How to Cite
HAYASE, J., PATEL, J., NARAYAN, S. M. and KRUMMEN, D. E. (2013), Percutaneous Stellate Ganglion Block Suppressing VT and VF in a Patient Refractory to VT Ablation. Journal of Cardiovascular Electrophysiology, 24: 926–928. doi: 10.1111/jce.12138
- Issue published online: 22 JUL 2013
- Article first published online: 9 APR 2013
- Accepted manuscript online: 11 MAR 2013 01:10PM EST
- Manuscript Accepted: 27 FEB 2013
- Manuscript Revised: 24 FEB 2013
- Manuscript Received: 27 JAN 2013
- American Heart Association. Grant Number: 10BGIA3500045
- autonomic nervous system;
- implantable cardioverter defibrillator;
- stellate ganglion block;
- ventricular tachycardia;
- VT storm
Percutaneous Stellate Ganglion Block Suppressing VT and VF
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.