Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series
Background: Ventricular arrhythmias are a leading cause of sudden death. The objective of this study was to characterise the results of patients with ventricular arrhythmias refractory to standard medical management, undergoing Video-assisted thoracoscopic cardiac sympathetic denervation (VAT-CSD) d...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2024-05-01
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| Series: | Interventional Cardiology: Reviews, Research, Resources |
| Online Access: | https://www.icrjournal.com/articleindex/icr.2023.09 |
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| author | Carolina Álvarez-Ortega Josué Daniel Gómez-Martínez María Alejandra Cardona-Gallardo Nicolás Felipe Torres-España Luis Fernando Pava-Molano Álvaro Ignacio Sánchez-Ortiz Mauricio Velásquez-Galvis |
| author_facet | Carolina Álvarez-Ortega Josué Daniel Gómez-Martínez María Alejandra Cardona-Gallardo Nicolás Felipe Torres-España Luis Fernando Pava-Molano Álvaro Ignacio Sánchez-Ortiz Mauricio Velásquez-Galvis |
| author_sort | Carolina Álvarez-Ortega |
| collection | DOAJ |
| description | Background: Ventricular arrhythmias are a leading cause of sudden death. The objective of this study was to characterise the results of patients with ventricular arrhythmias refractory to standard medical management, undergoing Video-assisted thoracoscopic cardiac sympathetic denervation (VAT-CSD) during 2012–2022 in Cali, Colombia. Methods: This was an observational retrospective study, using the Institutional General Thoracic Surgery Database for patient identification and retrospectively reviewing the clinical charts for data description and analysis. Results: Clinical records of 19 patients who underwent VAT-CSD for ventricular arrhythmia were analysed. The patients were predominantly male (73.7%) with an mean age of 62 years. Ischaemic heart disease was the main underlying condition (52.6%); all individuals had a diagnosis of heart failure, with comorbidities such as hypertension (63.1%), acute MI (57.8%) and diabetes (26.3%) also present. The procedure was performed bilaterally in 89.4% of cases and was successful with minimal perioperative complications. Postoperative follow-up showed improvement in symptoms, including a significant reduction in the number of ICD shocks and emergency department visits. Conclusion: VAT-CSD is a viable, safe and palliative therapeutic option for patients with ventricular arrhythmias who have not responded to conventional treatments, achieving a significant decrease in symptoms with low mortality and perioperative complications. |
| format | Article |
| id | doaj-art-6b4790c2b46a46cea39c0c236fe7e1cc |
| institution | OA Journals |
| issn | 1756-1477 1756-1485 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Interventional Cardiology: Reviews, Research, Resources |
| spelling | doaj-art-6b4790c2b46a46cea39c0c236fe7e1cc2025-08-20T02:37:51ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852024-05-011910.15420/icr.2023.09Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case SeriesCarolina Álvarez-Ortega0Josué Daniel Gómez-Martínez1María Alejandra Cardona-Gallardo2Nicolás Felipe Torres-España3Luis Fernando Pava-Molano4Álvaro Ignacio Sánchez-Ortiz5Mauricio Velásquez-Galvis6Fundación Valle del Lili, Centro de Investigaciones Clínicas, Cali, ColombiaFundación Valle del Lili, Centro de Investigaciones Clínicas, Cali, ColombiaUniversidad Icesi, Facultad de Ciencias de la Salud, Cali, ColombiaFundación Valle del Lili, Departamento de Cirugía, Cali, ColombiaFundación Valle del Lili, Departamento de Cardiología y Electrofisiología, Cali, ColombiaFundación Valle del Lili, Departamento de Cirugía, División de Cirugía de Tórax, Cali, ColombiaFundación Valle del Lili, Departamento de Cirugía, División de Cirugía de Tórax, Cali, ColombiaBackground: Ventricular arrhythmias are a leading cause of sudden death. The objective of this study was to characterise the results of patients with ventricular arrhythmias refractory to standard medical management, undergoing Video-assisted thoracoscopic cardiac sympathetic denervation (VAT-CSD) during 2012–2022 in Cali, Colombia. Methods: This was an observational retrospective study, using the Institutional General Thoracic Surgery Database for patient identification and retrospectively reviewing the clinical charts for data description and analysis. Results: Clinical records of 19 patients who underwent VAT-CSD for ventricular arrhythmia were analysed. The patients were predominantly male (73.7%) with an mean age of 62 years. Ischaemic heart disease was the main underlying condition (52.6%); all individuals had a diagnosis of heart failure, with comorbidities such as hypertension (63.1%), acute MI (57.8%) and diabetes (26.3%) also present. The procedure was performed bilaterally in 89.4% of cases and was successful with minimal perioperative complications. Postoperative follow-up showed improvement in symptoms, including a significant reduction in the number of ICD shocks and emergency department visits. Conclusion: VAT-CSD is a viable, safe and palliative therapeutic option for patients with ventricular arrhythmias who have not responded to conventional treatments, achieving a significant decrease in symptoms with low mortality and perioperative complications.https://www.icrjournal.com/articleindex/icr.2023.09 |
| spellingShingle | Carolina Álvarez-Ortega Josué Daniel Gómez-Martínez María Alejandra Cardona-Gallardo Nicolás Felipe Torres-España Luis Fernando Pava-Molano Álvaro Ignacio Sánchez-Ortiz Mauricio Velásquez-Galvis Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series Interventional Cardiology: Reviews, Research, Resources |
| title | Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series |
| title_full | Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series |
| title_fullStr | Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series |
| title_full_unstemmed | Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series |
| title_short | Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series |
| title_sort | cardiac sympathetic denervation as a treatment for ventricular arrhythmias refractory to conventional treatment a case series |
| url | https://www.icrjournal.com/articleindex/icr.2023.09 |
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