Arrhythmias & electrophysiologyCohort study

Stereotactic arrhythmia radioablation for refractory ventricular tachycardia: the STOPSTORM.eu study

Eur Heart JPublished

  • Prospective multicentre registry study
  • international
  • planned interim analysis
  • Median follow-up 19 months

Authors' conclusion

In the largest prospective multicentre cohort reported to date, STAR was associated with a substantial reduction in VT burden and ICD shocks, with a low frequency of possibly or probably treatment-related SAEs.

Study context

Population
Patients with refractory ventricular tachycardia (VT) treated with stereotactic arrhythmia radioablation (STAR), 28 European centres107 evaluable
Participants
193 patients
Exposure
6 months before vs 6 months after STAR
Outcome
Change in sustained VT episode burden, 6 months before vs 6 months after STAR
Follow-up
6 months

Main finding

As reported in the abstract

Median VT episode burden

Median VT episode burden reduced after STAR

80%

Observational data: associations, not effects.

Further findings

Freedom from implantable cardioverter-defibrillator (ICD) shock (patients surviving ≥6 months)

Free from ICD shock
72%

Overall survival · 12 months

Overall survival probability
77%

Safety

Serious adverse events (SAEs) possibly or probably treatment-related (primary safety endpoint)

Treatment-related SAEs in full cohort, incl. pericardial effusion, coronary events, early post-treatment ventricular arrhythmia
12

Original publication

Stereotactic arrhythmia radioablation for refractory ventricular tachycardia: the STOPSTORM.eu study. Eur Heart J. Published 20 April 2026. doi:10.1093/eurheartj/ehag338

Summarised from the published abstract; every number is checked against it