Impact of single versus dual local anaesthetic regimen on the efficacy and safety of percutaneous stellate ganglion block for electrical storm: new insights from the STAR study
| Title: | Impact of single versus dual local anaesthetic regimen on the efficacy and safety of percutaneous stellate ganglion block for electrical storm: new insights from the STAR study |
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| Authors: | Currao, Alessia; Dusi, Veronica; Casula, Matteo; Pittorru, Raimondo; Baldi, Enrico; Angelini, Filippo; Binaghi, Giulio; Migliore, Federico; Gandolfi, Edoardo; Mugnai, Giacomo; Tavella, Domenico; Notaristefano, Francesco; D'Ammando, Matteo; Dell'Era, Gabriele; Falcetti, Roberta; Sangiorgi, Giuseppe; D'Angelo, Giuseppe; Scaglione, Marco; Colombo, Claudia; Talini, Enrica; De Sensi, Francesco; Perini, Alessandro Paoletti; Chieffo, Enrico; Carinci, Valeria; Persampieri, Simone; De Ferrari, Gaetano Maria; Savastano, Simone; null, null; Sgromo, Vito; Gentile, Francesca Romana; Pontremoli, Silvia Miette; Bendotti, Sara; Primi, Roberto; Ulmanova, Leila; Morena, Arianna; Frigerio, Laura; Conte, Giulio; Rossi, Pietro; Frea, Simone; Gravinese, Carol; Toscano, Antonio; Iannopollo, Gianmarco; Crea, Pasquale; Dattilo, Giuseppe; Mancini, Nastasia; Tritto, Massimo; Zagari, Domenico; Corda, Marco; Tola, Gianfranco; Cesarano, Elisa; Scudu, Claudia; Lupi, Alessandro; Patti, Giuseppe; Carassia, Claudia; De Vecchi, Federica; Vargiu, Sara; Perego, Giovanni Battista; Girardengo, Giulia; Tanese, Nikita; Barone, Lucy; Compagnoni, Sara; Sanna, Tommaso; Spighi, Lorenzo; Sisti, Nicolò; Giaccardi, Marzia; Boggian, Giulio |
| Contributors: | Currao, Alessia; Dusi, Veronica; Casula, Matteo; Pittorru, Raimondo; Baldi, Enrico; Angelini, Filippo; Binaghi, Giulio; Migliore, Federico; Gandolfi, Edoardo; Mugnai, Giacomo; Tavella, Domenico; Notaristefano, Francesco; D'Ammando, Matteo; Dell'Era, Gabriele; Falcetti, Roberta; Sangiorgi, Giuseppe; D'Angelo, Giuseppe; Scaglione, Marco; Colombo, Claudia; Talini, Enrica; De Sensi, Francesco; Perini, Alessandro Paoletti; Chieffo, Enrico; Carinci, Valeria; Persampieri, Simone; De Ferrari, Gaetano Maria; Savastano, Simone; Null, Null; Sgromo, Vito; Gentile, Francesca Romana; Pontremoli, Silvia Miette; Bendotti, Sara; Primi, Roberto; Ulmanova, Leila; Morena, Arianna; Frigerio, Laura; Conte, Giulio; Rossi, Pietro; Frea, Simone; Gravinese, Carol; Toscano, Antonio; Iannopollo, Gianmarco; Crea, Pasquale; Dattilo, Giuseppe; Mancini, Nastasia; Tritto, Massimo; Zagari, Domenico; Corda, Marco; Tola, Gianfranco; Cesarano, Elisa; Scudu, Claudia; Lupi, Alessandro; Patti, Giuseppe; Carassia, Claudia; De Vecchi, Federica; Vargiu, Sara; Perego, Giovanni Battista; Girardengo, Giulia; Tanese, Nikita; Barone, Lucy; Compagnoni, Sara; Sanna, Tommaso; Spighi, Lorenzo; Sisti, Nicolò; Giaccardi, Marzia; Boggian, Giulio |
| Publication Year: | 2026 |
| Collection: | Padua Research Archive (IRIS - Università degli Studi di Padova) |
| Subject Terms: | Electrical storm; Local Anaesthetic; Stellate Ganglion Block; Ventricular Fibrillation; Ventricular Tachycardia |
| Description: | Aims: Percutaneous stellate ganglion block (PSGB) is a promising treatment for refractory electrical storm (ES). However, there is a lack of solid indications regarding the optimal pharmacological regimens and combination of local anaesthetics (LAs). This study, from the multicentre STAR registry, aimed to evaluate the impact of single versus dual LA regimen on the efficacy and safety of PSGB. Methods and results: We analysed 422 PSGB procedures from 298 patients (30% single LA, 70% dual LAs). Both regimens significantly reduced the number of treated ventricular arrhythmias (VAs) in the 12 hours post-PSGB. Crucially, the combination of two LAs-typically pairing a fast-acting with a long-acting agent-resulted in a significantly higher rate of complete VA suppression at 1 hour (85% vs 70%, p |
| Document Type: | article in journal/newspaper |
| File Description: | ELETTRONICO |
| Language: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/41698390; journal:EUROPEAN HEART JOURNAL. CARDIOVASCULAR PHARMACOTHERAPY; https://hdl.handle.net/11577/3581499 |
| DOI: | 10.1093/ehjcvp/pvag011 |
| Availability: | https://hdl.handle.net/11577/3581499; https://doi.org/10.1093/ehjcvp/pvag011 |
| Rights: | info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by-nc/4.0/ |
| Accession Number: | edsbas.7405AF99 |
| Database: | BASE |