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Risen from the dead: Cardiac stereotactic ablative radiotherapy as last rescue in a patient with refractory ventricular fibrillation storm  Eberhard P.

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Presentation on theme: "Risen from the dead: Cardiac stereotactic ablative radiotherapy as last rescue in a patient with refractory ventricular fibrillation storm  Eberhard P."— Presentation transcript:

1 Risen from the dead: Cardiac stereotactic ablative radiotherapy as last rescue in a patient with refractory ventricular fibrillation storm  Eberhard P. Scholz, MD, PhD, Katharina Seidensaal, MD, Patrick Naumann, MD, Florian André, MD, Hugo A. Katus, MD, PhD, Jürgen Debus, MD, PhD  HeartRhythm Case Reports  Volume 5, Issue 6, Pages (June 2019) DOI: /j.hrcr Copyright © 2019 Heart Rhythm Society Terms and Conditions

2 Figure 1 A: Surface electrogram obtained during the invasive electrophysiological procedure visualizing the initiation of ventricular fibrillation triggered by a ventricular premature beat (*). B: Endocardial left ventricular voltage map reveals large areas of scar including the anterior wall. Areas of normal bipolar voltage amplitude (>1.5 mV) are displayed in purple and areas of scar (<1.5 mV) are displayed in colors ranging from red (<0.5 mV) to blue (see color scale). Catheter ablation (red spheres) was performed at and around the location of best pace map. HeartRhythm Case Reports 2019 5, DOI: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

3 Figure 2 A: Number of treated arrhythmia episodes per day over a time period of 60 days. B: The corresponding therapeutic regimen. ECMO = extracorporeal membrane oxygenation; VF = ventricular fibrillation; VT = ventricular tachycardia. HeartRhythm Case Reports 2019 5, DOI: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

4 Figure 3 A: Target area drafted on a 3-dimensional cardiovascular reconstruction of the planning computed tomography (CT). Dose distribution of radiotherapy in an axial CT slice (B) and a frontal reconstruction (C) showing the planning target volume–encompassing 80% isodose in yellow (24 Gy) and the 95% isodose in red (28.5 Gy). Lowest depicted dose is the 30% isodose corresponding to 9 Gy. HeartRhythm Case Reports 2019 5, DOI: ( /j.hrcr ) Copyright © 2019 Heart Rhythm Society Terms and Conditions

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