Rahimzadeh Poupak, Saif Amir-Aziz
Department of Anesthesiology and Pain Medicine, Pain Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Pain Fellowship, Tehran, Iran.
Anesth Pain Med. 2023 Jan 13;13(1):e123342. doi: 10.5812/aapm-123342. eCollection 2023 Feb.
Electrical storms and ventricular tachycardia are two life-threatening arrhythmias that are becoming more common. In developing ventricular arrhythmias, the sympathetic nervous system plays a vital role. Stellate ganglion (SG) block can be used in many situations as an important therapeutic target, like treating tachyarryhthmias and ventricular tachyarrhythmias.
The patient was a 53 years old woman with a history of implantable cardioverter defibrillator (ICD) insertion due to ventricular tachycardia. The patient complained of an awkward and unpleasant sensation when the ICD sensed the tachyarrhythmia and shocked her. Regarding the positive response to the previous SG block, with the goal of a longer duration of this effect, stellate ganglion radiofrequency was performed.
Stellate ganglion radiofrequency shows a safe and long-term effect for patients with tachyarrhythmias and ICD who cannot tolerate episodes of ICD activation.
电风暴和室性心动过速是两种日益常见的危及生命的心律失常。在室性心律失常的发生过程中，交感神经系统起着至关重要的作用。星状神经节（SG）阻滞在许多情况下可作为重要的治疗靶点，如治疗快速性心律失常和室性快速性心律失常。
该患者为一名53岁女性，有因室性心动过速植入植入式心脏复律除颤器（ICD）的病史。患者抱怨当ICD感知到快速性心律失常并对其进行电击时，会有一种别扭和不适的感觉。鉴于此前星状神经节阻滞有阳性反应，为了使这种效果持续更长时间，进行了星状神经节射频消融术。
对于不能耐受ICD激活发作的快速性心律失常患者和ICD患者，星状神经节射频消融术显示出安全且长期的效果。
