| Literature DB >> 34600851 |
Josef Kautzner1, Kristina Jedlickova2, Marek Sramko3, Petr Peichl3, Jakub Cvek4, Lukas Knybel Ing4, Radek Neuwirth5, Otakar Jiravsky5, Ludek Voska2, Tomas Kucera6.
Abstract
Stereotactic body radiotherapy (SBRT) has been suggested as a promising therapeutic alternative in cases of failed catheter ablation for recurrent ventricular tachycardias (VTs) in patients with structural heart disease. This case series is the first postmortem immunohistochemical analysis of morphologic changes in the myocardium early and late after SBRT. The present findings are in line with experimental observations on apoptosis followed by fibrosis. This may explain why the effect of SBRT on VT is not predominantly immediate. Together with observation of early recurrences after SBRT for VT, these data suggest that this strategy may have rather delayed antiarrhythmic effects.Entities:
Keywords: catheter ablation; histology; immunohistochemistry; radiotherapy; ventricular tachycardia
Mesh:
Year: 2021 PMID: 34600851 DOI: 10.1016/j.jacep.2021.07.012
Source DB: PubMed Journal: JACC Clin Electrophysiol ISSN: 2405-500X