Sympathetic Blockade for the Management of Refractory Ventricular Tachycardia: A Case Report

Kavin Bains; David Janfaza; Devon Flaherty; Jose Zeballos; Ahmad Halawa; Usha Tedrow; Kamen Vlassakov

doi:10.1213/XAA.0000000000001456

Sympathetic Blockade for the Management of Refractory Ventricular Tachycardia: A Case Report

Kavin Bains, David Janfaza, Devon Flaherty, Jose Zeballos, Ahmad Halawa, Usha Tedrow, Kamen Vlassakov

Research output: Contribution to journal › Article › peer-review

Abstract

A 64-year-old man with a history of nonischemic cardiomyopathy (NICM) presented with electrical storm (ES). Episodes of ventricular tachycardia (VT) persisted despite endocardial catheter ablations and exhaustive pharmacotherapy. We used alternating regional anesthesia techniques, left stellate ganglion block, and proximal intercostal block to reduce sympathetic input to the heart, resulting in a significant decrease in VT burden. By using alternating catheter locations, we were able to maintain continuous sympathetic blockade for 31 days and bridge the patient to a successful orthotopic heart transplant.

Original language	English (US)
Pages (from-to)	e01456
Journal	A&A practice
Volume	15
Issue number	4
DOIs	https://doi.org/10.1213/XAA.0000000000001456
State	Published - Apr 21 2021
Externally published	Yes

All Science Journal Classification (ASJC) codes

Medicine(all)

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10.1213/XAA.0000000000001456

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title = "Sympathetic Blockade for the Management of Refractory Ventricular Tachycardia: A Case Report",

abstract = "A 64-year-old man with a history of nonischemic cardiomyopathy (NICM) presented with electrical storm (ES). Episodes of ventricular tachycardia (VT) persisted despite endocardial catheter ablations and exhaustive pharmacotherapy. We used alternating regional anesthesia techniques, left stellate ganglion block, and proximal intercostal block to reduce sympathetic input to the heart, resulting in a significant decrease in VT burden. By using alternating catheter locations, we were able to maintain continuous sympathetic blockade for 31 days and bridge the patient to a successful orthotopic heart transplant.",

author = "Kavin Bains and David Janfaza and Devon Flaherty and Jose Zeballos and Ahmad Halawa and Usha Tedrow and Kamen Vlassakov",

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AU - Janfaza, David

AU - Flaherty, Devon

AU - Zeballos, Jose

AU - Halawa, Ahmad

AU - Tedrow, Usha

AU - Vlassakov, Kamen

PY - 2021/4/21

Y1 - 2021/4/21

N2 - A 64-year-old man with a history of nonischemic cardiomyopathy (NICM) presented with electrical storm (ES). Episodes of ventricular tachycardia (VT) persisted despite endocardial catheter ablations and exhaustive pharmacotherapy. We used alternating regional anesthesia techniques, left stellate ganglion block, and proximal intercostal block to reduce sympathetic input to the heart, resulting in a significant decrease in VT burden. By using alternating catheter locations, we were able to maintain continuous sympathetic blockade for 31 days and bridge the patient to a successful orthotopic heart transplant.

AB - A 64-year-old man with a history of nonischemic cardiomyopathy (NICM) presented with electrical storm (ES). Episodes of ventricular tachycardia (VT) persisted despite endocardial catheter ablations and exhaustive pharmacotherapy. We used alternating regional anesthesia techniques, left stellate ganglion block, and proximal intercostal block to reduce sympathetic input to the heart, resulting in a significant decrease in VT burden. By using alternating catheter locations, we were able to maintain continuous sympathetic blockade for 31 days and bridge the patient to a successful orthotopic heart transplant.

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Sympathetic Blockade for the Management of Refractory Ventricular Tachycardia: A Case Report

Abstract

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