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Stellate Ganglion Block as Novel Treatment for Heart Failure Patients
Stellate Ganglion Block as Novel Treatment for Heart Failure Patients
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Narrow QRS complex Heart failure patients | No Intervention | Narrow QRS complex Heart failure patients with optimal medical treatment. | |
| : Narrow QRS complex Heart failure patients | Active Comparator | : Narrow QRS complex Heart failure patients with optimal medical treatment with stellate ganglion block. |
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| Wide QRS complex heart failure patients | Active Comparator | Wide QRS complex heart failure patients with optimal medical treatment who were non responders to CRT( retrospective and prospective) with stellate ganglion block. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stellate Ganglion Block | Procedure | A stellate ganglion block is performed by a medical professional in a sterile setting. Firstly Position of patient: Semi-lateral decubitus position, with the neck turned contralateral. Using Probe of ultrasound: Linear 6-13 MHz to guide the needle to the stellate ganglion , The skin at the injection site is cleaned with an antiseptic solution to reduce the risk of infection. A local anesthetic is injected into the skin and deeper tissues to numb the area. Needle:25G 1.5 inch or 22G 3.5 inch is inserted through the skin and deeper tissues until it reaches the stellate ganglion.Once the needle is in the correct position, 3-5 mL of local anesthetic (0.25-0.5% bupivacaine) The procedure typically takes about 15-20 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| Change of left ventricular ejection fraction (LVEF). | Change of left ventricular ejection fraction (LVEF). | 3 month |
| Change of NYHA classification. | Change of NYHA classification. | 3 month |
| Measure | Description | Time Frame |
|---|---|---|
| Change of 6 minutes walking test. | Change of 6 minutes walking test. | 3 month |
| Heart failure hospitalization. | Heart failure hospitalization. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mina Fam, Resident | Contact | 01122035368 | minassfam@yahoo.com | |
| Aly Tohamy, Lecturer | Contact | Ali.tohamy@gmail.com | Ali.tohamy@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assiut University | Not yet recruiting | Asyut | 71515 | Egypt | ||
| Assiut university |
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A stellate ganglion block is performed by a medical professional in a sterile setting. Firstly Position of patient: Semi-lateral decubitus position, with the neck turned contralateral. Using Probe of ultrasound: Linear 6-13 MHz to guide the needle to the stellate ganglion , The skin at the injection site is cleaned with an antiseptic solution to reduce the risk of infection. A local anesthetic is injected into the skin and deeper tissues to numb the area. Needle:25G 1.5 inch or 22G 3.5 inch is inserted through the skin and deeper tissues until it reaches the stellate ganglion.Once the needle is in the correct position, 3-5 mL of local anesthetic (0.25-0.5% bupivacaine) The procedure typically takes about 15-20 minutes.
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| 3 month |
| Vascular complications and safety issues. | Vascular complications and safety issues. | 3 month |
| Cardiovascular death. | Cardiovascular death. | 3 month |
| Recruiting |
| Asyut |
| 71515 |
| Egypt |
|