Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report
| Autor: | Chiara Pavone, Roberto Scacciavillani, Maria Lucia Narducci, Francesco Cellini, Gemma Pelargonio, Gianluigi Bencardino, Francesco Perna, Francesco Spera, Gaetano Pinnacchio, Tommaso Sanna, Vincenzo Valentini, Filippo Crea |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Frontiers in Cardiovascular Medicine, Vol 9 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2297-055X 14538865 |
| DOI: | 10.3389/fcvm.2022.937090 |
| Popis: | IntroductionStereotactic arrhythmia radioablation (STAR) is a novel technique for the ablation of ventricular tachycardia in patients with contraindications to standard procedures, i.e., radiofrequency ablation.Case presentationWe report the case of a 73-year-old man with non-ischemic dilated cardiomyopathy and recurrent VT episodes. Electroanatomic mapping showed VT prevalently of epicardial origin, but direct epicardial access through subxyphoid puncture could not be performed due to pleuropericardial adhesions from a past history of chemical pleurodesis. STAR was performed, with no VT recurrence at 6 months follow-up.ConclusionsPrevious experiences with STAR have demonstrated its importance in the management of patients with refractory VT in whom other ablation strategies were not successful. Our case report highlights the use of STAR as a second choice in a patient with an unfavorable VT anatomical location and technical limitations to an optimal radiofrequency ablation. Moreover, it confirms STAR's effectiveness in the ablation of complex transmural lesions, which are more often associated with non-ischemic structural heart disease. |
| Databáze: | Directory of Open Access Journals |
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