지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 1 - 7 (7page)
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Stereotactic cardiac radiation for ablation (radioablation) of life-threatening ventricular arrhythmia was recently introduced into clinical practice. A 76-year-old male patient with apical hypertrophic cardiomyopathy at burnout stage, who received defibrillator implantation for the secondary prevention of sudden arrhythmic death, was admitted for repeated defibrillator therapy. Radiofrequency catheter ablation was unsuccessful due to the induction of ventricular fibrillation (VF) and hemodynamically unstable sustained monomorphic ventricular tachycardia (VT). However, intracardiac activation mapping for the induced VT revealed the earliest ventricular activation at the apical aneurysm. Radioablation was performed to control VT and VF storm refractory to antiarrhythmic drug therapy. A total of 24 Gray was radiated, divided into three fractions around the apical aneurysm. The onset of electrical modulation was instantaneous and the antiarrhythmic effect was maintained for at least 6 months without significant radiation toxicities. This case suggests that radioablation may be considered as a rescue therapy for VT and VF storm refractory to other treatment modalities.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Loo BW Jr / 2015 / Stereotactic ablative radiotherapy for the treatment of refractory cardiac ventricular arrhythmia / Circ Arrhythm Electrophysiol 8(3):748~750
Cuculich PS / 2017 / Noninvasive cardiac radiation for ablation of ventricular tachycardia / N Engl J Med 377(24):2325~2336
Robinson CG / 2019 / Phase I/II trial of electrophysiology-guided noninvasive cardiac radioablation for ventricular tachycardia / Circulation 139(3):313~321
Benedict SH / 2010 / Stereotactic body radiation therapy : the report of AAPM Task Group 101 / Med Phys 37(8):4078~4101
Sharma A / 2010 / Noninvasive stereotactic radiosurgery(CyberHeart)for creation of ablation lesions in the atrium / Heart Rhythm 7(6):802~810
Cuculich PS / 2017 / Noninvasive cardiac radiation for ablation of ventricular tachycardia / N Engl J Med 377(24):2325~2336
Robinson CG / 2019 / Phase I/II trial of electrophysiology-guided noninvasive cardiac radioablation for ventricular tachycardia / Circulation 139(3):313~321
Benedict SH / 2010 / Stereotactic body radiation therapy : the report of AAPM Task Group 101 / Med Phys 37(8):4078~4101
Sharma A / 2010 / Noninvasive stereotactic radiosurgery(CyberHeart)for creation of ablation lesions in the atrium / Heart Rhythm 7(6):802~810
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