Inadvertent right ventricular apical exit after stereotactic body radiotherapy for ventricular tachycardia: Every cloud has a silver lining

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dc.authorid0000-0002-3871-9219
dc.contributor.authorÖzcan Çetin, Elif Hande
dc.contributor.authorKara, Meryem
dc.contributor.authorKorkmaz, Ahmet
dc.contributor.authorÖzeke, Özcan
dc.contributor.authorÇay, Serkan
dc.contributor.authorÖzcan, Fırat
dc.contributor.authorTopaloğlu, Serkan
dc.contributor.authorAras, Dursun
dc.date.accessioned2023-02-13T12:29:06Z
dc.date.available2023-02-13T12:29:06Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractA 78-year-old man suffering from gastric cancer with ischemic cardiomyopathy and recurrent ICD shocks consented to ventricular tachycardia (VT) ablation. He had a previous endocardial VT ablation 1 year ago, and a stereotactic radioablation for his recurrent VT 4 months ago. We planned again left ventricular endocardial mapping for his incessant slow VT suggesting an apical exit site (Figure 1A). However, the activation mapping of LV did not cover the whole VT cycle length, and we decide to map the right ventricular septal side instead of the epicardial access due to the patient's poor frailty. Fortunately, the mid-diastolic potential (MDP) was acquired in an unusual position (Figures 1A and 1B); however, the pericardial location of the mapping catheter was confirmed fluoroscopically (Figures 1C and 1D). An urgent surgical consultation was called for, and operative preparations were initiated. However, since no pericardial tamponade occurred and blood pressure remained stable, we continued the endo-epicardial ablation by ablating the MDP (Video 1).
dc.identifier.citationÖzcan Çetin, E. H., Kara, M., Korkmaz, A., Özeke, Ö., Çay, S., Özcan, F. ... Aras, D. (2023). Inadvertent right ventricular apical exit after stereotactic body radiotherapy for ventricular tachycardia: Every cloud has a silver lining. Anatolian Journal of Cardiology, 27(1), E1-E2. https://dx.doi.org/10.14744/AnatolJCardiol.2022.2384
dc.identifier.doi10.14744/AnatolJCardiol.2022.2384
dc.identifier.endpageE2
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue1
dc.identifier.pmid36680452
dc.identifier.scopus2-s2.0-85147045573
dc.identifier.scopusqualityQ3
dc.identifier.startpageE1
dc.identifier.trdizinid1165622
dc.identifier.urihttps://dx.doi.org/10.14744/AnatolJCardiol.2022.2384
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10427
dc.identifier.volume27
dc.identifier.wos000926399900014en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorAras, Dursun
dc.language.isoen
dc.publisherTurkish Society of Cardiology
dc.relation.ispartofAnatolian Journal of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectSilver Lining
dc.subjectApical Exit
dc.subjectVentricular
dc.titleInadvertent right ventricular apical exit after stereotactic body radiotherapy for ventricular tachycardia: Every cloud has a silver lining
dc.typeArticle

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