Successful Noninvasive 12-Lead ECG Mapping-Guided Radiotherapy of Inaccessible Ventricular Tachycardia Substrate Due to Mechanical Valves

In patients presenting with refractory ventricular tachycardia (VT) and aortic and mitral mechanical prosthetic valves, traditional catheter ablation is challenging. We describe a case in which a novel noninvasive computational electrocardiogram mapping algorithm localized VT sources originating fro...

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Autores principales: Keyt, Lucas K., Atwood, Todd, Bruggeman, Andrew, Mundt, Arno J., Feld, Gregory K., Krummen, David E., Ho, Gordon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Mini-Focus Issue: Electrophysiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240275/
https://www.ncbi.nlm.nih.gov/pubmed/37283824
http://dx.doi.org/10.1016/j.jaccas.2023.101870
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author Keyt, Lucas K.
Atwood, Todd
Bruggeman, Andrew
Mundt, Arno J.
Feld, Gregory K.
Krummen, David E.
Ho, Gordon
author_facet Keyt, Lucas K.
Atwood, Todd
Bruggeman, Andrew
Mundt, Arno J.
Feld, Gregory K.
Krummen, David E.
Ho, Gordon
author_sort Keyt, Lucas K.
collection PubMed
description In patients presenting with refractory ventricular tachycardia (VT) and aortic and mitral mechanical prosthetic valves, traditional catheter ablation is challenging. We describe a case in which a novel noninvasive computational electrocardiogram mapping algorithm localized VT sources originating from substrate near the mechanical valves, in which stereotactic ablative radiotherapy eliminated VT in 1.5-year follow-up. (Level of Difficulty: Advanced.)
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spelling pubmed-102402752023-06-06 Successful Noninvasive 12-Lead ECG Mapping-Guided Radiotherapy of Inaccessible Ventricular Tachycardia Substrate Due to Mechanical Valves Keyt, Lucas K. Atwood, Todd Bruggeman, Andrew Mundt, Arno J. Feld, Gregory K. Krummen, David E. Ho, Gordon JACC Case Rep Mini-Focus Issue: Electrophysiology In patients presenting with refractory ventricular tachycardia (VT) and aortic and mitral mechanical prosthetic valves, traditional catheter ablation is challenging. We describe a case in which a novel noninvasive computational electrocardiogram mapping algorithm localized VT sources originating from substrate near the mechanical valves, in which stereotactic ablative radiotherapy eliminated VT in 1.5-year follow-up. (Level of Difficulty: Advanced.) Elsevier 2023-05-06 /pmc/articles/PMC10240275/ /pubmed/37283824 http://dx.doi.org/10.1016/j.jaccas.2023.101870 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Mini-Focus Issue: Electrophysiology
Keyt, Lucas K.
Atwood, Todd
Bruggeman, Andrew
Mundt, Arno J.
Feld, Gregory K.
Krummen, David E.
Ho, Gordon
Successful Noninvasive 12-Lead ECG Mapping-Guided Radiotherapy of Inaccessible Ventricular Tachycardia Substrate Due to Mechanical Valves
title Successful Noninvasive 12-Lead ECG Mapping-Guided Radiotherapy of Inaccessible Ventricular Tachycardia Substrate Due to Mechanical Valves
title_full Successful Noninvasive 12-Lead ECG Mapping-Guided Radiotherapy of Inaccessible Ventricular Tachycardia Substrate Due to Mechanical Valves
title_fullStr Successful Noninvasive 12-Lead ECG Mapping-Guided Radiotherapy of Inaccessible Ventricular Tachycardia Substrate Due to Mechanical Valves
title_full_unstemmed Successful Noninvasive 12-Lead ECG Mapping-Guided Radiotherapy of Inaccessible Ventricular Tachycardia Substrate Due to Mechanical Valves
title_short Successful Noninvasive 12-Lead ECG Mapping-Guided Radiotherapy of Inaccessible Ventricular Tachycardia Substrate Due to Mechanical Valves
title_sort successful noninvasive 12-lead ecg mapping-guided radiotherapy of inaccessible ventricular tachycardia substrate due to mechanical valves
topic Mini-Focus Issue: Electrophysiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240275/
https://www.ncbi.nlm.nih.gov/pubmed/37283824
http://dx.doi.org/10.1016/j.jaccas.2023.101870
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