Correspondence on 'Percutaneous cervical sympathetic block to treat cerebral vasospasm and delayed cerebral ischemia: A review of the evidence' by Bombardieri et al

Perez Herrero M., YAMAK ALTINPULLUK E., Galluccio F., Espinoza Morrales K., Pacheco R. L. J., Fajardo M.

Journal of NeuroInterventional Surgery, cilt.16, sa.1, ss.108-109, 2023 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Kısa Makale
  • Cilt numarası: 16 Sayı: 1
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1136/jnis-2023-020449
  • Dergi Adı: Journal of NeuroInterventional Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.108-109
  • Anahtar Kelimeler: Intervention, Spinal nerve, Technique, Ultrasound
  • Atatürk Üniversitesi Adresli: Hayır

Özet

We read with great interest the recently published article about cervical sympathetic block.1 The authors state that a cervical anesthetic injection performed at the level of the middle cervical ganglion, or C6 level, will inhibit both superior preganglionic fibers and the stellate ganglion at the C7 level by spreading both upwards and downwards. At this level, they considered that both the preganglionic fibers that enervate the anterior circulation and the postganglionic fibers that enervate the posterior circulation would be blocked. Additionally, the authors have stated that there is evidence that nerve blocks performed with ultrasound guidance are superior in terms of effectiveness and have fewer reported minor complications.2 The aim of this letter is to describe a new sympathetic chain block approach in the supraclavicular fossa and explain its advantages.