Comparison of left internal mammary artery diameter before and after left stellate ganglion block

Gopal, Divya; Singh, Naveen G; Jagadeesh, AM; Ture, Ajay; Thimmarayappa, Ashwini

doi:10.4103/0971-9784.119161

Cited by 16 publications

(12 citation statements)

References 25 publications

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“…At the same time, it can enhance the defense function and prevent nerve damage (Boas, 1998). SGB can reduce norepinephrine (Mulvaney et al, 2010) and prostaglandins in the brain and plasma, improve ischemic, anoxic and metabolic abnormalities in local tissues, and remove inflammatory mediators by increasing local blood circulation (Park et al, 2010; Gopal et al, 2013; Kim et al, 2013). SGB can also significantly reduce the cortisol, aldosterone, angiotensin-2, 5-hydroxytryptamine and substance P in the blood of patients with pain (Wang et al, 2005; Jeon, 2016), change the lymphocyte subsets and NK cell activity (Yokoyama et al, 2000), inhibit the proinflammatory cytokines IL-1β, IL-6 and TNF-α, regulate the early inflammation responses (Liu et al, 2013), and promote nerve repair.…”

Section: Discussionmentioning

confidence: 99%

CT-Guided Stellate Ganglion Pulsed Radiofrequency Stimulation for Facial and Upper Limb Postherpetic Neuralgia

Ding

Yao

et al. 2019

Front. Neurosci.

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Objective: Postherpetic neuralgia (PHN) is the most common complication of herpes zoster, manifesting as a persistent, spontaneous, knife-like pain or paroxysmal burning that seriously affects a patient’s quality of life. An effective treatment of PHN is lacking. This retrospective study examined the efficacy and safety of stellate ganglion (SG) pulsed radiofrequency (PRF) on facial and upper limb PHN.Methods: Eighty-four patients with PHN on the face or upper limbs were enrolled for the study. Patients were randomly divided into two surgical groups according to the order of enrollment; one group underwent SG block (SG-B group, n = 42) and the other underwent SG pulsed radiofrequency (SG-P group, n = 42). After surgery, patients were followed at 1 week, 2 weeks, 1 month, 3 months, and 6 months. Observation at each follow-up included basic patient characteristics, visual analog scale (VAS), quality of life (QOL) using Physical Component Summary (PCS), and Mental Component Summary (MCS) to assess, total effective rate, complications and side effects.Results: Compared with preoperative values, VAS decreased in both groups after surgery (P < 0.05). In the SG-B group, VAS increased after 1 month, while in the SG-P group, VAS gradually decreased at later follow-up time points. VAS decreased more significantly in the SG-P group after 1 month (P < 0.05). PCS and MCS increased in both groups after the operation, and the difference was significant compared with preoperative values (P < 0.05). The total effective rates of the SG-B and SG-P groups were 64.3 and 83.3%, respectively. The total effective rate of the SG-P group was higher than that of the SG-B group (P < 0.05). The incidence of complications and side effects in the SG-B group was higher than that in the SG-P group (P < 0.05).Conclusion: SG pulsed radiofrequency treatment of facial and upper limb PHN is safe and effective. It is a treatment method worth promoting.

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Section: Discussionmentioning

confidence: 99%

CT-Guided Stellate Ganglion Pulsed Radiofrequency Stimulation for Facial and Upper Limb Postherpetic Neuralgia

Ding

Yao

et al. 2019

Front. Neurosci.

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“…[ 8 ] LSGB also has been shown to cause vasodilatation of LITA. [ 9 10 ] Majority of the vasodilatory effects on LITA are attained through endothelial expression of nitric oxide and blockade of alpha-receptors or receptors of vasoactive agents such as thromboxane-A2, endothelin-1, prostaglandin-II, adenosine, and angiotensin II. Which pathway among them provides maximum vasodilatory effect still remains controversial.…”

Section: Discussionmentioning

confidence: 99%

“…[ 7 ] Some of the studies demonstrated vasodilatory effects of sympatholysis through regional anesthesia techniques such as thoracic epidural anesthesia (TEA)[ 8 ] and left stellate ganglion blockade (LSGB) on LITA flow and diameter, respectively. [ 9 10 ] LSGB also has been shown to improve flow in free radial artery graft. [ 11 ] As various agents used for vasodilatation of arterial grafts differ in their actions, combination therapy has been advocated by some of the investigators to increase blood flow in the grafts.…”

Section: Introductionmentioning

confidence: 99%

Combined effect of left stellate ganglion blockade and topical administration of papaverine on left internal thoracic artery blood flow in patients undergoing coronary revascularization

et al. 2020

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Background: Left stellate ganglion blockade (LSGB) may have additive effect to topical administration of papaverine on prevention of vasospasm of left internal thoracic artery (LITA). Aims: This study aims to compare LITA blood flow with topical application of papaverine alone or in combination with LSGB. Setting: Tertiary care hospital. Design: Prospective randomized controlled study. Materials and Methods: A total of 100 patients operated for coronary revascularization were randomly and equally allocated into two groups. In control Group-C, papaverine was applied topically during the dissection of LITA. In Group-S, the additional LSGB was performed. Blood flow was measured from cut end of the LITA for 15 s. Primary objectives of the evaluation were to observe differences in the LITA blood flow. Observing incidence of radial-femoral arterial pressure difference after cardiopulmonary bypass (CPB) was secondary objective. Statistical Analysis: Student's unpaired t -test and Fisher's exact test to find out a significant difference between the groups. Results: LITA flow in Group-S was insignificantly more (49.28 ± 7.88 ml/min) than Group-C (47.12 ± 7.24 ml/min), ( P = 0.15). Radio-femoral arterial pressure difference remained low for 40 min after termination of CPB in the Group-S compared to the Group-C (−0.99 ± 1.85 vs. −1.92 ± 2.26). Conclusion: Combining LSGB with papaverine does not increase the LITA blood flow compared to when the papaverine is used alone. However, ganglion blockade reduces radial-femoral arterial pressure difference after CPB. Blockade can be achieved successfully under the ultrasound guidance without any complications.

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“…Left IMA diameter has been measured at the second (2.56±0.39 mm), third (2.46±0.38 mm), fourth (2.39±0.38 mm) and fifth (2.35±0.38 mm) rib level, respectively. [5] In addition, the right IMA and vein are larger than the left in all intercostal spaces. [6] It is a rare occurrence when a left IMA originates from the distal subclavian artery.…”

Section: Anatomymentioning

confidence: 98%

Full realization of internal mammary artery injury after blunt chest trauma

Chen

Guanggen

Zhong

et al. 2018

Turk Gogus Kalp Dama

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Tüm dünyada motorlu taşıtların sayısındaki ciddi ve sürekli artış nedeniyle klinisyenler künt göğüs travması sonrası iç meme arteri yaralanması geçirme riski taşıyan büyük bir popülasyonla karşı karşıyadır. Buna rağmen, ilgili sağlık uygulayıcıları tarafından bu konu ile çok az ilgilenilmektedir. Ayrıca, iç meme arteri yaralanması hakkında geçerli çok az araştırma verisi ve toplumsal kılavuz ilkesi bulunmaktadır. Diğer yandan, tespit edilmemiş iç meme arteri yaralanması olan olgularda sonuç yıkıcı veya ölümcül olabilir. Buna bağlı olarak, iç meme arteri yaralanması olan hastalar için anatominin, etyolojinin, tanısal yaklaşımların ve tedavi stratejilerinin araştırılması ve incelenmesi acilen gereklidir.Anah tar söz cük ler: Künt göğüs travması; tanı; iç meme arteri yaralanması; tedavi.

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Comparison of left internal mammary artery diameter before and after left stellate ganglion block

Abstract: LSGB significantly increased the LIMA diameter. The LSGB can be considered as an alternative to topical and systemic vasodilators for reducing vasospasm of LIMA.

Cited by 16 publications

References 25 publications

CT-Guided Stellate Ganglion Pulsed Radiofrequency Stimulation for Facial and Upper Limb Postherpetic Neuralgia

CT-Guided Stellate Ganglion Pulsed Radiofrequency Stimulation for Facial and Upper Limb Postherpetic Neuralgia

Combined effect of left stellate ganglion blockade and topical administration of papaverine on left internal thoracic artery blood flow in patients undergoing coronary revascularization

Full realization of internal mammary artery injury after blunt chest trauma

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