Inadvertent right ventricular apical exit after stereotactic body radiotherapy for ventricular tachycardia: Every cloud has a silver lining
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info:eu-repo/semantics/openAccessAttribution-NonCommercial 4.0 Internationalhttps://creativecommons.org/licenses/by-nc/4.0/Tarih
2023Yazar
Özcan Çetin, Elif HandeKara, Meryem
Korkmaz, Ahmet
Özeke, Özcan
Çay, Serkan
Özcan, Fırat
Topaloğlu, Serkan
Aras, Dursun
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Özcan 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.2022.2384Özet
A 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).
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Anatolian Journal of CardiologyCilt
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https://dx.doi.org/10.14744/AnatolJCardiol.2022.2384https://hdl.handle.net/20.500.12511/10427