Refractory ventricular tachycardia treated by a second session of stereotactic arrhythmia radioablation

C. Herrera Siklody; E. Pruvot; P. Pascale; R. Kinj; R. Jumeau; M. Le Bloa; C. Teres; G. Domenichini; A.P. Porretta; M. Ozsahin; J. Bourhis; L. Schiappacasse

Clinical and Translational Radiation Oncology (Nov 2022)

Refractory ventricular tachycardia treated by a second session of stereotactic arrhythmia radioablation

C. Herrera Siklody,
E. Pruvot,
P. Pascale,
R. Kinj,
R. Jumeau,
M. Le Bloa,
C. Teres,
G. Domenichini,
A.P. Porretta,
M. Ozsahin,
J. Bourhis,
L. Schiappacasse

Affiliations

C. Herrera Siklody: Department of Cardiology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
E. Pruvot: Department of Cardiology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland; Corresponding author.
P. Pascale: Department of Cardiology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
R. Kinj: Department of Radiation Oncology, Department of Oncology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
R. Jumeau: Department of Radiation Oncology, Department of Oncology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
M. Le Bloa: Department of Cardiology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
C. Teres: Department of Cardiology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
G. Domenichini: Department of Cardiology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
A.P. Porretta: Department of Cardiology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
M. Ozsahin: Department of Radiation Oncology, Department of Oncology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
J. Bourhis: Department of Radiation Oncology, Department of Oncology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland
L. Schiappacasse: Department of Radiation Oncology, Department of Oncology, Lausanne University Hospital (CHUV) and Lausanne University (UNIL), Switzerland

Journal volume & issue: Vol. 37
pp. 89 – 93

Abstract

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Purpose: Stereotactic arrhythmia radioablation (STAR) is an effective treatment for refractory ventricular tachycardia (VT), but recurrences after STAR were recently published. Herein, we report two cases of successful re-irradiation of the arrhythmogenic substrate. Cases: We present two cases of re-irradiation after recurrence of a previously treated VT with radioablation at a dose of 20 Gy. The VT exit was localized on the border zone of the irradiated volume, which responded positively to re-irradiation at follow-up. Conclusion: These two cases show the technical feasibility of re-irradiation to control recurrent VT after a first STAR.

Published in Clinical and Translational Radiation Oncology

ISSN: 2405-6308 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine; Medicine: Internal medicine: Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Website: https://www.journals.elsevier.com/clinical-and-translational-radiation-oncology

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