Buy (150 RUB)
|Generate QR code
Open Access
Subscription or Fee Access
Sympathetic denervation — a promising method for treatment of ventricular tachyarrhythmia in children
https://doi.org/10.21508/1027-4065-2023-68-3-5-11
Abstract
Ventricular tachycardia is a rare but potentially life-threatening arrhythmia. Ventricular tachycardia in patients with structural pathology and cardiac channelopathies is associated with the highest risk of sudden cardiac death. The stratification of patients depending on the risk of developing a life-threatening arrhythmia determines the choice of treatment method. Left cardiac sympathetic denervation is a surgical method of treatment aimed at preventing attacks of ventricular tachycardia. The antiarrhythmic effect of sympathetic denervation has been proven in both experimental and clinical studies. Currently, the technique of left cardiac sympathetic denervation consists of a video-assisted sympathectomy by thoracoscopic access, which makes the procedure safe and effective. Left cardiac sympathectomy is used in the treatment of patients with recurrent ventricular tachycardia despite adequate medical therapy. The authors recommend the use of left cardiac sympathectomy in those types of channelopathies, in which stress is the main proven provoking factor of ventricular tachycardia.
About the Authors
R. A. Ildarova
Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Moscow
M. A. Shkolnikova
Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Moscow
References
1. Shkolnikova M.A., Ildarova R.A. Modern approaches to hereditary life-threatening arrhythmias treatment in children. Pediatriya im. G.N. Speranskogo 2018; 97(3): 133–141. (in Russ.)
2. Leontyeva I.V., Makarova V.A., Termosesov S.A. Syncope in children with hypertrophic cardiomyopathy. Rossiyskiy Vestnik Perinatologii i Pediatrii 2014; 59(6): 57–65. (in Russ.) DOI: 10.21508/1027–4065–2014–59–6–35–49
3. Iwamoto M., Niimura I., Shibata T., Yasui K., Takigiku K., Nishizawa T. et al. Long-term course and clinical characteristics of ventricular tachycardia detected in children by schoolbased heart disease screening. Circ J 2005; 69(3): 273–276. DOI: 10.1253/circj.69.273. PMID: 15731530
4. Roggen A., Pavlovic M., Pfammatter J.P. Frequency of spontaneous ventricular tachycardia in a pediatric population. Am J Cardiol 2008; 101(6): 852–854. DOI: 10.1016/j.amjcard.2007.10.047
5. Zeppenfeld K., Tfelt-Hansen J., de Riva M., Winkel B.G., Behr E.R., Blom N.A., et al. ESC Scientific Document Group. 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Eur Heart J 2022; 43(40): 3997–4126. DOI: 10.1093/eurheartj/ehac262
6. Hohnloser S.H., Al-Khalidi H.R., Pratt C.M., Brum J.M., Tatla D.S., Tchou P., Dorian P.; Shock Inhibition Evaluation with AzimiLiDe (SHIELD) Investigators. Electrical storm in patients with an implantable defibrillator: incidence, features, and preventive therapy: insights from a randomized trial. Eur Heart J 2006; 27(24): 3027–3032. DOI: 10.1093/eurheartj/ehl276
7. Sagone A. Electrical Storm: Incidence, Prognosis and Therapy. J Atr Fibrillation 2015; 8(4): 1150. DOI: 10.4022/jafib.1150
8. Proietti R., Labos C., Davis M., Thanassoulis G., Santangeli P., Russo V. et al. A systematic review and meta-analysis of the association between implantable cardioverter-defibrillator shocks and long-term mortality. Can J Cardiol 2015; 31(3): 270–277. DOI: 10.1016/j.cjca.2014.11.023
9. Germano J.J., Reynolds M., Essebag V., Josephson M.E. Frequency and causes of implantable cardioverter-defibrillator therapies: is device therapy proarrhythmic? Am J Cardiol 2006; 97(8): 1255–1261. DOI: 10.1016/j.amjcard.2005.11.048
10. Jonesco T. Traitement chirurgical de l’angine de poitrine par la résection du sympathique cervico-thoracique. Bull Acad de Med 1920; 84: 93.
11. Moss A.J., McDonald J. Unilateral cervicothoracic ganglionectomy for the treatment of long QT interval syndrome. N Engl J Med 1971; 285: 903–904. DOI: 10.1056/NEJM197110142851607
12. Li J., Wang L., Wang J. Video-assisted thoracoscopic sympathectomy for congenital long QT syndromes. Pacing Clin Electrophysiol 2003; 26(4 Pt 1): 870–873. DOI: 10.1046/j.1460–9592.2003.t01–1–00152.x
13. Vaseghi M., Barwad P., Malavassi Corrales F.J., Tandri H., Mathuria N., Shah R. et al. Cardiac Sympathetic Denervation for Refractory Ventricular Arrhythmias. J Am Coll Cardiol 2017; 69(25): 3070–3080. DOI: 10.1016/j.jacc.2017.04.035
14. Shen M.J., Zipes D.P. Role of the autonomic nervous system in modulating cardiac arrhythmias. Circ Res 2014; 114(6): 1004–1021. DOI: 10.1161/CIRCRESAHA.113.302549
15. Cao J.M., Fishbein M.C., Han J.B., Lai W.W., Lai A.C., Wu T.J. et al. Relationship between regional cardiac hyperinnervation and ventricular arrhythmia. Circulation 2000; 101(16): 1960–1969. DOI: 10.1161/01.cir.101.16.1960
16. Dusi V., De Ferrari G.M., Pugliese L., Schwartz P.J. Cardiac Sympathetic Denervation in Channelopathies. Front Cardiovasc Med 2019; 6: 27. DOI: 10.3389/fcvm.2019.00027
17. Charpentier F., Drouin E., Gauthier C., Le Marec H. Early after/depolarizations and triggered activity: mechanisms and autonomic regulation. Fundam Clin Pharmacol 1993; 7(1): 39–49. DOI: 10.1111/j.1472–8206.1993.tb00216.x
18. Estes E.H.Jr., Izlar H.R.Jr. Recurrent ventricular tachycardia. A case successfully treated by bilateral cardiac sympathectomy. Am J Med 1961; 31: 493–497. DOI: 10.1016/0002–9343(61)90132–2
19. Zipes D.P., Festoff B., Schaal S.F., Cox C., Sealy W.C., Wallace A.G. Treatment of ventricular arrhythmia by permanent atrial pacemaker and cardiac sympathectomy. Ann Intern Med 1968; 68: 591–597. DOI: 10.7326/0003–4819–68–3–591
20. Schwartz P.J., Locati E., Moss A., Crampton R.S., Trazzi R., Ruberti U. Left cardiac sympathethic denervation in therapy of congenital long QT syndrome. A worldwide report. Circulation 1991; 84: 503–511. DOI: 10.1161/01.cir.84.2.503
21. Schwartz P.J., Priori S.G., Cerrone M., Spazzolini C., Odero A., Napolitano C. et al. Left cardiac sympathetic denervation in the management of high-risk patients affected by the long QT syndrome. Circulation 2004; 109: 1826–1833. DOI: 10.1161/01.CIR.0000125523.14403.1E
22. Wilde A.A., Bhuiyan Z.A., Crotti L., Facchini M., De Ferrari G.M., Paul T. et al. Left cardiac sympathetic denervation for catecholaminergic polymorphic ventricular tachycardia. N Engl J Med 2008; 358(19): 2024–2029. DOI: 10.1056/NEJMoa0708006
23. Reardon P.R., Matthews B.D., Scarborough T.K., Preciado A., Marti J.L., Conklin L.D. et al. Left thoracoscopic sympathec tomy and stellate ganglionectomy for treatment of the long QT syndrome. Surg Endosc 2000; 4(1): 86. DOI: 10.1007/s004649901209
24. Niaz T., Bos J.M., Sorensen K.B., Moir C., Ackerman M.J. Left Cardiac Sympathetic Denervation Monotherapy in Patients With Congenital Long QT Syndrome. Circ Arrhythm Electrophysiol 2020; 13(12): e008830. DOI: 10.1161/CIRCEP.120.008830
25. Coleman M.A., Bos J.M., Johnson J.N., Owen H.J., Deschamps C., Moir C., Ackerman M.J. Videoscopic left cardiac sympathetic denervation for patients with recurrent ventricular fibrillation/malignant ventricular arrhythmia syndromes besides congenital long-QT syndrome. Circ Arrhythm Electrophysiol 2012; 5(4): 782–788. DOI: 10.1161/CIRCEP.112.971754
Review
For citations:
Ildarova R.A., Shkolnikova M.A. Sympathetic denervation — a promising method for treatment of ventricular tachyarrhythmia in children. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2023;68(3):5-11. (In Russ.) https://doi.org/10.21508/1027-4065-2023-68-3-5-11
Views:
742
Email this article 