Continuous Thoracic Paravertebral Block to Treat Electrical Storm.

Area of Science:

• Cardiology
• Pain Management
• Thoracic Surgery

Background:

• Ventricular tachyarrhythmias are a significant clinical challenge.
• Continuous ganglion blocks are emerging as a management strategy.
• Sympathetic nervous system hyperactivity contributes to arrhythmias.

Purpose of the Study:

• To evaluate the safety and efficacy of continuous left thoracic paravertebral block.
• To assess its utility in managing drug-refractory ventricular tachyarrhythmias.
• To compare it with other sympathetic denervation techniques.

Main Methods:

• Case series of two patients with ventricular tachyarrhythmias.
• Application of continuous left thoracic paravertebral block for sympathetic denervation.
• Assessment of patient comfort and arrhythmia management.

Main Results:

• Successful sympathetic denervation was achieved in both patients.
• Significant improvement in drug-refractory ventricular tachyarrhythmias was observed.
• The procedure was found to be safe and improved patient comfort.

Conclusions:

• Continuous left thoracic paravertebral block is a safe and effective option for managing ventricular tachyarrhythmias.
• It offers advantages over stellate ganglion block and single-injection techniques.
• This block can serve as destination or bridging therapy.