Publication Date
3-1-2022
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-17-6433
PMID
35395087
Publication Date(s)
March 2022
Language
English
PMCID
PMC9053658
PubMedCentral® Posted Date
4-8-2022
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Anesthetics, local/therapeutic use; anti-arrhythmia agents/therapeutic use; arrhythmias, cardiac/therapy; nerve block/methods; recurrence; stellate ganglion/physiopathology; sympathetic nervous system/surgery; tachycardia, ventricular/prevention & control/therapy; thoracic vertebrae; treatment outcome
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
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.