PO-05-036 PERCUTANEOUS STELLATE GANGLIA ABLATION IN THE MANAGEMENT OF VTSTORM

VT storm is a clinical emergency associated with high mortality. Neural modulation of the cardiac sympathetic chain, usually in form surgical sympathectomy, has shown to be effective achieving reduction appropriate ICD shocks and episodes. We hypothesised Percutaneous Stellate Ganglion Ablation (SGA) safe alternative modality neuromodulation patients storm. Patients ES refractory standard management, including sedation mechanical ventilation, antiarrhythmic agents beta-blockers, underwent bilateral percutaneous SGA. The ablation was performed at 2 levels - C7 T1, bilaterally, under fluoroscopic guidance using customized protocol. (Figure) At each site, 3 lesions were delivered sequentially 50, 55 60 deg. C for 90 seconds COSMAN RF generator needle electrode 5cm length 4mm active tip ipsilateral Horner’s syndrome being end-point successful ablation. followed up till discharge as outpatients periodic device interrogation There 6 (4 male & female) mean age 56.5±5.2 years. monomorphic 4 polymorphic other patients. substrate Ischaemic cardiomyopathy 2, Non-ischaemic Hypertrophic 1 patient. meean LVEF 35 ± 20%. no periprocedural complications. Post-procedure, out had one episode Non-sustained in-hospital. All discharged on Amiodarone Metoprolol. follow-up duration 15± months. last all them are alive none then received any shocks.. One patient 42 days after procedUre which terminated by ATP. SGA RFA safe, effective, inexpensive, well-tolerated minimally invasive procedure should considered drug ES.