Arrhythmias & electrophysiology

Magnetic Resonance-Guided Stereotactic Radioablation for Septal Ventricular Tachycardias

JACC Clin ElectrophysiolPublished Prospective case series

Authors' conclusion

MRgSTAR represents a safe and effective strategy for treating septal VT.

Study context

Population
Patients with septal ventricular tachycardia (VT) substrate (refractory VT)100% male
Participants
11 patients
Outcome
Recurrence of any sustained VT beyond the 6-week blanking period
Follow-up
Mean 12 ± 6 months
Methodological detailssingle-group, consecutive patients
  • Single-group
  • Consecutive patients

Main finding

As reported in the abstract

Recurrence of any sustained VT beyond 6-week blanking period

Efficacy outcome occurred

3

27.3%

Observational data: associations, not effects.

Further findings

OutcomeValues
Same-day dischargeMRgSTAR 54.5%

Implantable cardioverter-defibrillator (ICD) therapy

ICD therapy before vs after magnetic resonance-guided STAR (MRgSTAR)
23.6 vs 1.7; P < 0.001

LVEF

LVEF before MRgSTAR (median)
38% [Q1-Q3: 33.5%-42.0%]
LVEF after MRgSTAR (median)
43.8% [Q1-Q3: 35%-47%]
Before vs after
P = 0.04

Safety

Complications after MRgSTAR
0
Adverse effects in ICD and lead system
0
AV block in 7 patients with preserved AV conduction
0

Original publication

Magnetic Resonance-Guided Stereotactic Radioablation for Septal Ventricular Tachycardias. JACC Clin Electrophysiol. Published 9 October 2024. doi:10.1016/j.jacep.2024.08.008

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.