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Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias

  • Device-Based Approaches for Hypertension (M Schlaich, Section Editor)
  • Published:
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Abstract

Purpose of Review

To highlight the indications, procedural considerations, and data supporting the use of stellate ganglion blockade (SGB) for management of refractory ventricular arrhythmias.

Recent Findings

In patients with refractory ventricular arrhythmias, unilateral or bilateral SGB can reduce arrhythmia burden and defibrillation events for 24–72 h, allowing time for use of other therapies like catheter ablation, surgical sympathectomy, or heart transplantation. The efficacy of SGB appears to be consistent despite the type (monomorphic vs polymorphic) or etiology (ischemic vs non-ischemic cardiomyopathy) of the ventricular arrhythmia. Ultrasound-guided SGB is safe with low risk for complications, even when performed on anticoagulation.

Summary

SGB is effective and safe and could be considered for patients with refractory ventricular arrhythmias.

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Acknowledgments

We would like to thank Laura H. Qadri for the graphical support.

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Correspondence to Marat Fudim.

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Ganesh, A., Qadri, Y.J., Boortz-Marx, R.L. et al. Stellate Ganglion Blockade: an Intervention for the Management of Ventricular Arrhythmias. Curr Hypertens Rep 22, 100 (2020). https://doi.org/10.1007/s11906-020-01111-8

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