Arrhythmias & electrophysiology

Electrical storm treatment by percutaneous stellate ganglion block: the STAR study

Eur Heart JPublished Prospective multicentre observational study

An erratum to this article was published (Eur Heart J, 14 Oct 2024 ↗)

Authors' conclusion

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.

Study context

Population
Patients with electrical storm refractory to standard treatment, 19 centres, 1 July 2017 to 30 June 2023
Participants
131 patients184 percutaneous stellate ganglion block (PSGBs)
Exposure
12 h after vs 12 h before percutaneous stellate ganglion block
  • PSGBn = 131
Outcome
Reduction of treated arrhythmic events by ≥50%, 12 h after vs 12 h before PSGB
Follow-up
12 h
Methodological detailssingle-arm
  • Single-arm

Main finding

As reported in the abstract

Reduction of treated arrhythmic events by ≥50%
GroupValueMedian reduction of arrhythmic episodes
PSGB92%100% (IQR −100% to −92.3%)

PSGB

Value92%
Median reduction of arrhythmic episodes100% (IQR −100% to −92.3%)

Observational data: associations, not effects.

Further findings

OutcomeP value
Treated arrhythmic episodes, 12 h before first vs 12 h after last PSGBSix (3-15.8) vs. 0 (0-1)P < 0.0001
Treated arrhythmic episodes, 1 h before vs 1 h after each PSGB · 2 (0-6) vs. 0 (0-0)P < 0.001

Safety

One major complication
0.5%

Original publication

Electrical storm treatment by percutaneous stellate ganglion block: the STAR study. Eur Heart J. Published 30 January 2024. doi:10.1093/eurheartj/ehae021

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.