交感神经阻断术治疗难治性室性心动过速：病例报告。
Sympathetic Blockade for the Management of Refractory Ventricular Tachycardia: A Case Report.
机构信息
From the Department of Anesthesiology, Perioperative and Pain Medicine.
Department of Cardiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
出版信息
A A Pract. 2021 Apr 21;15(4):e01456. doi: 10.1213/XAA.0000000000001456.
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.
一位 64 岁男性，患有非缺血性心肌病（NICM），出现电风暴（ES）。尽管进行了心内膜导管消融和全面的药物治疗，但室性心动过速（VT）仍持续发作。我们使用交替区域麻醉技术、左星状神经节阻滞和近端肋间阻滞来减少心脏的交感神经输入，从而显著降低 VT 负荷。通过交替使用导管位置，我们能够维持连续的交感神经阻滞 31 天，并成功桥接患者进行原位心脏移植。
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