Why the study?
While cardiac stereotactic radiotherapy can stabilize refractory ventricular tachycardia storm, its use to control ventricular fibrillation storm by targeting almost the entire scar had not been reported.
Cardiac stereotactic ablative radiotherapy may be a viable rescue therapy for refractory ventricular fibrillation storm.
First case of stereotactic radiotherapy for refractory VT storm; hypothesis-generating and requires prospective validation before adoption.
Key Teaching Points•Ventricular arrhythmia storm is a life-threatening clinical event often requiring immediate intervention. Therapeutic strategies include antiarrhythmic drug therapy, deep sedation, cardiac pacing, catheter ablation, and cardiac assist systems.•Only recently, clinical pilot studies have proven the efficacy of cardiac stereotactic radiotherapy in stabilizing patients with refractory ventricular tachycardia storm.•We here present the first case of a patient in whom stereotactic radioablation was used to control ventricular fibrillation storm by targeting almost the entire scar. •Ventricular arrhythmia storm is a life-threatening clinical event often requiring immediate intervention. Therapeutic strategies include antiarrhythmic drug therapy, deep sedation, cardiac pacing, catheter ablation, and cardiac assist systems.•Only recently, clinical pilot studies have proven the efficacy of cardiac stereotactic radiotherapy in stabilizing patients with refractory ventricular tachycardia storm.•We here present the first case of a patient in whom stereotactic radioablation was used to control ventricular fibrillation storm by targeting almost the entire scar.
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Scholz et al. (2019) studied this question.
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