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应用星状神经节光疗法成功治疗左心室辅助装置患者难治性室性心动过速。

Refractory Ventricular Tachycardia in a Patient With a Left Ventricular Assist Device Successfully Treated With Stellate Ganglion Phototherapy.

机构信息

Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

出版信息

Can J Cardiol. 2020 Dec;36(12):1977.e1-1977.e3. doi: 10.1016/j.cjca.2020.08.002. Epub 2020 Aug 13.

Abstract

Neuraxial modulation therapies, such as stellate ganglion block, thoracic epidural anaesthesia, and cardiac sympathetic denervation, are effective for ventricular arrhythmias. However, these treatments can increase the risk of bleeding and infection. In this case report, stellate ganglion phototherapy was safely and effectively performed for refractory ventricular tachycardias in a patient with a history of left ventricular assist device implantation. Stellate ganglion phototherapy may have the potential to treat refractory ventricular arrhythmias as an additive therapy or bridge therapy.

摘要

神经轴调制疗法,如星状神经节阻滞、胸椎硬膜外麻醉和心脏去交感神经支配,对室性心律失常有效。然而,这些治疗方法会增加出血和感染的风险。在本病例报告中,对一位有左心室辅助装置植入史的患者,安全有效地实施了星状神经节光疗来治疗难治性室性心动过速。星状神经节光疗可能具有作为附加治疗或桥接治疗来治疗难治性室性心律失常的潜力。

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