Radiofrequency Ablation of the Stellate Ganglion for Management of Acute Digital Ischemia: A Case Report

Authors

Nitin K. Sekhri, New York Medical College
Shalvi Parikh
R. Marcus Foo, New York Medical College

DOI

10.1213/XAA.0000000000000869

Journal Title

A&A Practice

First Page

189

Last Page

192

Document Type

Case Report

Publication Date

October 2018

Department

Anesthesiology

Abstract

The authors present a report of a pulsed radiofrequency ablation of the stellate ganglion performed on a patient with microemboli to the hand from a thrombosed abandoned arteriovenous fistula. The patient was initially managed using vasodilators and anticoagulation. However, the patient's skin mottling, pain, and decreased strength persisted. Ablation of the stellate ganglia increased perfusion to his hand and likely prevented amputation that has lasted for approximately 1 year. While radiofrequency ablation is more commonly used for pain syndromes, this is an example of its use in the treatment and potential treatment of acute ischemia.

Recommended Citation

Sekhri, N., Parikh, S., & Foo, R. (2018). Radiofrequency Ablation of the Stellate Ganglion for Management of Acute Digital Ischemia: A Case Report. A&A Practice, 11 (7), 189-192. https://doi.org/10.1213/XAA.0000000000000869