Table 3.
A description of treatments and outcomes in the individual cases. All catheter ablations performed were endocardial. A patient was deemed either a percutaneous stellate ganglion block (PSGB) responder or non-responder during our follow-up multidisciplinary electrophysiology meetings
| Patient | Acute treatment | Sedation | PSGB responder | Long-term treatment | Outcome |
|---|---|---|---|---|---|
| 1 | Urgent PSGB | No | Yes | LCSD | Infrequent VA responsive to ATP recurred 15 months after LCSD. Deceased due to malignancy and worsening heart failure |
| 2 | Lidocaine | No | No | LCSD | No follow-up data available after transferral to a cardiac transplantation centre 2 weeks after LCSD |
| 3 | Amiodarone | No | Yes | Additional i.v. amiodarone | Free from VA after therapeutic amiodarone levels were achieved |
| 4 | Lidocaine | No | No | Catheter ablation | Urgent catheter ablation of a basal septal exit was performed after VA recurrence following PSGB. Deceased due to pneumonia |
| 5 | Amiodarone | Yes | Yes | LCSD | VA recurred following LCSD. Stabilised after two catheter ablations, both with extensive substrate modification |
| 6 | Urgent PSGB | No | No | LCSD | Deceased due to refractory VA 8 weeks after LCSD |
| 7 | Urgent PSGB | No | Yes | Catheter ablation | LCSD not feasible due to adhesions. Percutaneous radiofrequency stellate ganglion block was performed. After VT recurrence 6 weeks later referred to a university hospital |
| 8 | Amiodarone | Yes | Yes | Amiodarone i.v. | Free from VA |
| 9 |
Sotalol and urgent PSGB |
No | Yes | LCSD | Free from VA |
| 10 | Urgent PSGB | No | Yes | LCSD | Infrequent asymptomatic VT terminated by ATP recurred 6 months after LCSD |
| 11 |
Sotalol and urgent PSGB |
No | Yes | Amiodarone i.v. | Free from VA. Deceased due to pneumonia 2 years after LCSD |
| 12 | Amiodarone | No | No | Amiodarone i.v. | Deceased. Treatment discontinued after VT recurrence on day 2 after PSGB |
VA ventricular arrhythmia, VT ventricular tachycardia, PSGB percutaneous stellate ganglion block, LCSD left cardiac sympathetic denervation, ATP antitachycardia pacing