Use of stereotactic radioablation therapy as a bailout therapy for refractory ventricular tachycardia in a patient with a no-entry left ventricle

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Aras D., Ozturk H. F., Ozdemir E., Kervan U., Kara M., Cay S., ...More

Journal of Innovations in Cardiac Rhythm Management, vol.12, no.9, pp.4671-4675, 2021 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 9
  • Publication Date: 2021
  • Doi Number: 10.19102/icrm.2021.120902
  • Journal Name: Journal of Innovations in Cardiac Rhythm Management
  • Journal Indexes: Scopus
  • Page Numbers: pp.4671-4675
  • Keywords: Mechanical aortic and mitral valve, No-entry left ventricle, Refractory ventricular tachycardia, SBRT, Stereotactic radioablation therapy
  • Ankara Yıldırım Beyazıt University Affiliated: Yes

Abstract

© 2021 Innovations in Cardiac Rhythm ManagementIn patients with mechanical aortic and mitral valves and left ventricular (LV) tachycardia (VT), catheter ablation is technically challenging due to the limited access to the LV. Promising new alternatives to radiofrequency ablation include pulsed-field electroporation, percutaneous or surgical sympathetic neuromodulation, and noninvasive stereotactic radioablation therapy (SBRT). We herein describe the effect of SBRT as a bailout therapy on the management of a challenging VT case in the presence of double left-sided mechanical valves.