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. 2024 Jun 12;32(7-8):283–289. doi: 10.1007/s12471-024-01880-w

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