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| Verfasst von: | Kästner, Lena [VerfasserIn]  |
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| | Boda-Heggemann, Judit [VerfasserIn] |
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| | Fanslau, Hannah [VerfasserIn] |
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| | Xie, Jingyang [VerfasserIn] |
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| | Schweikard, Achim [VerfasserIn] |
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| | Giordano, Frank Anton [VerfasserIn] |
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| | Blanck, Oliver [VerfasserIn] |
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| | Rudic, Boris [VerfasserIn] |
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| Titel: | Electroanatomical mapping after cardiac radioablation for treatment of incessant electrical storm |
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| Titelzusatz: | a case report from the RAVENTA trial |
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| Verf.angabe: | Lena Kaestner, Judit Boda-Heggemann, Hannah Fanslau, Jingyang Xie, Achim Schweikard, Frank A. Giordano, Oliver Blanck, Boris Rudic |
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| E-Jahr: | 2023 |
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| Jahr: | 12 September 2023 |
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| Umfang: | 7 S. |
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| Fussnoten: | Gesehen am 11.12.2023 |
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| Titel Quelle: | Enthalten in: Strahlentherapie und Onkologie |
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| Ort Quelle: | Berlin : Springer Medizin, 1997 |
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| Jahr Quelle: | 2023 |
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| Band/Heft Quelle: | 199(2023), 11, Seite 1018-1024 |
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| ISSN Quelle: | 1439-099X |
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| Abstract: | Background Electroanatomical mapping (EAM)-guided stereotactic arrhythmia radioablation (STAR) is a novel noninvasive therapy option for patients with monomorphic ventricular tachycardia (VT) refractory to antiarrhythmic drugs and/or urgent catheter ablation (CA). Data on success rates in an emergency situation such as electrical storm (ES) are rare. We present a case of a patient with an initially very poor life expectancy after extensive myocardial infarction with therapy-resistant ES, not amendable for further antiarrhythmic drug therapy, implantable cardioverter-defibrillator implantation, or repeated CA who was introduced to the radiation oncology department for emergency STAR as a bail-out therapy. - Methods Target volume definition and transfer from EAM to CT were validated and quality assured with a semi-automatic, dedicated visualization tool (CARDIO-RT). Emergency STAR was performed with 25 Gy in the framework of the RAVENTA study. The VT burden gradually decreased after STAR; however, a second VT morphology occurred, which was successfully treated with EAM-guided CA 12 days after STAR. - Results The second EAM-guided CA showed areas of low voltage in the irradiated segments, indicating a precise targeting and early functional response to STAR. The patient remained free of any VT recurrence or any radiation-related toxicities and in good general condition during the recent follow-up of 18 months. - Conclusion The case highlights the possible approach, caveats, difficulties, and prognosis of a patient severely affected by therapy-resistant VT in whom CA could not lead to VT suppression. Further studies of putative mechanisms of STAR in the acute and chronic phase of this novel therapy are warranted. |
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| DOI: | doi:10.1007/s00066-023-02136-z |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
kostenfrei: Volltext: https://doi.org/10.1007/s00066-023-02136-z |
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| | kostenfrei: Volltext: https://link.springer.com/10.1007/s00066-023-02136-z |
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| | DOI: https://doi.org/10.1007/s00066-023-02136-z |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| K10plus-PPN: | 1873044526 |
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| Verknüpfungen: | → Zeitschrift |
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Electroanatomical mapping after cardiac radioablation for treatment of incessant electrical storm / Kästner, Lena [VerfasserIn]; 12 September 2023 (Online-Ressource)
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