Electrical storm treatment by percutaneous stellate ganglion block: the STAR study
Simone Savastano
1
,
Enrico Baldi
1
,
Sara Compagnoni
1, 2
,
Roberto Rordorf
1
,
Antonio Sanzo
1
,
Francesca Romana Gentile
1, 2
,
Veronica Dusi
3, 4
,
Simone Frea
3, 4
,
Carol Gravinese
3, 4
,
Filippo Maria Cauti
5
,
Gianmarco Iannopollo
6
,
Francesco De Sensi
7
,
Edoardo Gandolfi
8
,
Laura Frigerio
8, 9
,
Pasquale Crea
10
,
Domenico Zagari
11
,
Matteo Casula
12
,
Giuseppe Sangiorgi
13
,
Simone Persampieri
14
,
Gabriele Dell’Era
15
,
Giuseppe Patti
15, 16
,
Claudia Colombo
17
,
Giacomo Mugnai
18
,
Francesco Notaristefano
19
,
Alberto Barengo
19
,
Roberta Falcetti
20
,
Giovanni Battista Perego
21
,
Giuseppe D'Angelo
22
,
Nikita Tanese
22
,
Alessia Currao
1
,
Vito Sgromo
23
,
G M De Ferrari
3, 4
3
Division of Cardiology, Molinette Hospital, Città della Salute e della Scienza , Torino , Italy
|
6
Division of Cardiology, Maggiore Hospital , Bologna , Italy
|
7
Division of Cardiology, Misericordia Hospital , Grosseto , Italy
|
8
Division of Cardiology, Santi Antonio e Biagio e Cesare Arrigo Hospital , Alessandria , Italy
|
9
Division of Cardiology, Maggiore Hospital , Crema , Italy
|
10
Division of Cardiology, G. Martino Hospital , Messina , Italy
|
11
Division of Cardiology, Humanitas Mater Domini , Castellanza , Italy
|
12
Division of Cardiology, ‘San Michele’ dell’ARNAS G. Brotzu Hospital , Cagliari , Italy
|
14
Division of Cardiology, San Biagio Hospital , Domodossola , Italy
|
15
Division of Cardiology, Maggiore della carità Hospital , Novara , Italy
|
19
Division of Cardiology, Santa Maria della Misericordia Hospital , Perugia , Italy
|
21
Division of Cardiology, San Luca Hospital , Milan , Italy
|
Publication type: Journal Article
Publication date: 2024-01-30
scimago Q1
wos Q1
SJR: 4.987
CiteScore: 40.3
Impact factor: 35.6
ISSN: 0195668X, 15229645
PubMed ID:
38289867
Cardiology and Cardiovascular Medicine
Abstract
Background and Aims
An electrical storm (ES) is a clinical emergency with a paucity of established treatment options. Despite initial encouraging reports about the safety and effectiveness of percutaneous stellate ganglion block (PSGB), many questions remained unsettled and evidence from a prospective multicentre study was still lacking. For these purposes, the STAR study was designed.
Methods
This is a multicentre observational study enrolling patients suffering from an ES refractory to standard treatment from 1 July 2017 to 30 June 2023. The primary outcome was the reduction of treated arrhythmic events by at least 50% comparing the 12 h following PSGB with the 12 h before the procedure. STAR operators were specifically trained to both the anterior anatomical and the lateral ultrasound-guided approach.
Results
A total of 131 patients from 19 centres were enrolled and underwent 184 PSGBs. Patients were mainly male (83.2%) with a median age of 68 (63.8–69.2) years and a depressed left ventricular ejection fraction (25.0 ± 12.3%). The primary outcome was reached in 92% of patients, and the median reduction of arrhythmic episodes between 12 h before and after PSGB was 100% (interquartile range −100% to −92.3%). Arrhythmic episodes requiring treatment were significantly reduced comparing 12 h before the first PSGB with 12 h after the last procedure [six (3–15.8) vs. 0 (0–1), P < .0001] and comparing 1 h before with 1 h after each procedure [2 (0–6) vs. 0 (0–0), P < .001]. One major complication occurred (0.5%).
Conclusions
The findings of this large, prospective, multicentre study provide evidence in favour of the effectiveness and safety of PSGB for the treatment of refractory ES.
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Metrics
58
Total citations:
58
Citations from 2024:
56
(100%)
Cite this
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RIS |
BibTex |
MLA
Cite this
GOST
Copy
Savastano S. et al. Electrical storm treatment by percutaneous stellate ganglion block: the STAR study // European Heart Journal. 2024. Vol. 45. No. 10. pp. 823-833.
GOST all authors (up to 50)
Copy
Savastano S. et al. Electrical storm treatment by percutaneous stellate ganglion block: the STAR study // European Heart Journal. 2024. Vol. 45. No. 10. pp. 823-833.
Cite this
RIS
Copy
TY - JOUR
DO - 10.1093/eurheartj/ehae021
UR - https://doi.org/10.1093/eurheartj/ehae021
TI - Electrical storm treatment by percutaneous stellate ganglion block: the STAR study
T2 - European Heart Journal
AU - Savastano, Simone
AU - Baldi, Enrico
AU - Compagnoni, Sara
AU - Rordorf, Roberto
AU - Sanzo, Antonio
AU - Gentile, Francesca Romana
AU - Dusi, Veronica
AU - Frea, Simone
AU - Gravinese, Carol
AU - Cauti, Filippo Maria
AU - Iannopollo, Gianmarco
AU - De Sensi, Francesco
AU - Gandolfi, Edoardo
AU - Frigerio, Laura
AU - Crea, Pasquale
AU - Zagari, Domenico
AU - Casula, Matteo
AU - Sangiorgi, Giuseppe
AU - Persampieri, Simone
AU - Dell’Era, Gabriele
AU - Patti, Giuseppe
AU - Colombo, Claudia
AU - Mugnai, Giacomo
AU - Notaristefano, Francesco
AU - Barengo, Alberto
AU - Falcetti, Roberta
AU - Perego, Giovanni Battista
AU - D'Angelo, Giuseppe
AU - Tanese, Nikita
AU - Currao, Alessia
AU - Sgromo, Vito
AU - De Ferrari, G M
PY - 2024
DA - 2024/01/30
PB - Oxford University Press
SP - 823-833
IS - 10
VL - 45
PMID - 38289867
SN - 0195-668X
SN - 1522-9645
ER -
Cite this
BibTex (up to 50 authors)
Copy
@article{2024_Savastano,
author = {Simone Savastano and Enrico Baldi and Sara Compagnoni and Roberto Rordorf and Antonio Sanzo and Francesca Romana Gentile and Veronica Dusi and Simone Frea and Carol Gravinese and Filippo Maria Cauti and Gianmarco Iannopollo and Francesco De Sensi and Edoardo Gandolfi and Laura Frigerio and Pasquale Crea and Domenico Zagari and Matteo Casula and Giuseppe Sangiorgi and Simone Persampieri and Gabriele Dell’Era and Giuseppe Patti and Claudia Colombo and Giacomo Mugnai and Francesco Notaristefano and Alberto Barengo and Roberta Falcetti and Giovanni Battista Perego and Giuseppe D'Angelo and Nikita Tanese and Alessia Currao and Vito Sgromo and G M De Ferrari and others},
title = {Electrical storm treatment by percutaneous stellate ganglion block: the STAR study},
journal = {European Heart Journal},
year = {2024},
volume = {45},
publisher = {Oxford University Press},
month = {jan},
url = {https://doi.org/10.1093/eurheartj/ehae021},
number = {10},
pages = {823--833},
doi = {10.1093/eurheartj/ehae021}
}
Cite this
MLA
Copy
Savastano, Simone, et al. “Electrical storm treatment by percutaneous stellate ganglion block: the STAR study.” European Heart Journal, vol. 45, no. 10, Jan. 2024, pp. 823-833. https://doi.org/10.1093/eurheartj/ehae021.
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