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Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report
INTRODUCTION: Stereotactic 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 PRESENTATION: We report the case of a 73-year-old man with non-ischemic dilated c...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339650/ https://www.ncbi.nlm.nih.gov/pubmed/35924213 http://dx.doi.org/10.3389/fcvm.2022.937090 |
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author | Pavone, Chiara Scacciavillani, Roberto Narducci, Maria Lucia Cellini, Francesco Pelargonio, Gemma Bencardino, Gianluigi Perna, Francesco Spera, Francesco Pinnacchio, Gaetano Sanna, Tommaso Valentini, Vincenzo Crea, Filippo |
author_facet | Pavone, Chiara Scacciavillani, Roberto Narducci, Maria Lucia Cellini, Francesco Pelargonio, Gemma Bencardino, Gianluigi Perna, Francesco Spera, Francesco Pinnacchio, Gaetano Sanna, Tommaso Valentini, Vincenzo Crea, Filippo |
author_sort | Pavone, Chiara |
collection | PubMed |
description | INTRODUCTION: Stereotactic 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 PRESENTATION: We 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. CONCLUSIONS: Previous 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. |
format | Online Article Text |
id | pubmed-9339650 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93396502022-08-02 Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report Pavone, Chiara Scacciavillani, Roberto Narducci, Maria Lucia Cellini, Francesco Pelargonio, Gemma Bencardino, Gianluigi Perna, Francesco Spera, Francesco Pinnacchio, Gaetano Sanna, Tommaso Valentini, Vincenzo Crea, Filippo Front Cardiovasc Med Cardiovascular Medicine INTRODUCTION: Stereotactic 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 PRESENTATION: We 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. CONCLUSIONS: Previous 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. Frontiers Media S.A. 2022-07-18 /pmc/articles/PMC9339650/ /pubmed/35924213 http://dx.doi.org/10.3389/fcvm.2022.937090 Text en Copyright © 2022 Pavone, Scacciavillani, Narducci, Cellini, Pelargonio, Bencardino, Perna, Spera, Pinnacchio, Sanna, Valentini and Crea. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Pavone, Chiara Scacciavillani, Roberto Narducci, Maria Lucia Cellini, Francesco Pelargonio, Gemma Bencardino, Gianluigi Perna, Francesco Spera, Francesco Pinnacchio, Gaetano Sanna, Tommaso Valentini, Vincenzo Crea, Filippo Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report |
title | Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report |
title_full | Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report |
title_fullStr | Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report |
title_full_unstemmed | Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report |
title_short | Successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: A case report |
title_sort | successful ventricular tachycardia radioablation in a patient with previous chemical pleurodesis: a case report |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339650/ https://www.ncbi.nlm.nih.gov/pubmed/35924213 http://dx.doi.org/10.3389/fcvm.2022.937090 |
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