Neuraxial modulation for refractory ventricular arrhythmias: value of thoracic epidural anesthesia and surgical left cardiac sympathetic denervation.

@article{Bourke2010NeuraxialMF,
  title={Neuraxial modulation for refractory ventricular arrhythmias: value of thoracic epidural anesthesia and surgical left cardiac sympathetic denervation.},
  author={Tara Bourke and Marmar Vaseghi and Yoav Michowitz and Vineet Sankhla and Mandar Shah and Nalla Swapna and Noel G. Boyle and Aman Mahajan and Calambur Narasimhan and Yash Y. Lokhandwala and Kalyanam Shivkumar},
  journal={Circulation},
  year={2010},
  volume={121 21},
  pages={2255-62}
}
BACKGROUND Reducing sympathetic output to the heart from the neuraxis can protect against ventricular arrhythmias. The purpose of this study was to assess the value of thoracic epidural anesthesia (TEA) and left cardiac sympathetic denervation (LCSD) in the management of ventricular arrhythmias in patients with structural heart disease. METHODS AND RESULTS Clinical data of 14 patients (25 to 75 years old, mean+/-SD of 54.2+/-16.6 years; 13 men) who underwent TEA, LCSD, or both to control… CONTINUE READING
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