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立体定向放射治疗心室性心动过速(STAR)的临床证据——全面综述

Clinical Evidence behind Stereotactic Radiotherapy for the Treatment of Ventricular Tachycardia (STAR)-A Comprehensive Review.

作者信息

Miszczyk Marcin, Jadczyk Tomasz, Gołba Krzysztof, Wojakowski Wojciech, Wita Krystian, Bednarek Jacek, Blamek Sławomir

机构信息

IIIrd Department of Radiotherapy and Chemotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, 44-102 Gliwice, Poland.

Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, 40-055 Katowice, Poland.

出版信息

J Clin Med. 2021 Mar 17;10(6):1238. doi: 10.3390/jcm10061238.

DOI:10.3390/jcm10061238
PMID:33802802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8002399/
Abstract

The electrophysiology-guided noninvasive cardiac radioablation, also known as STAR (stereotactic arrhythmia radioablation) is an emerging treatment method for persistent ventricular tachycardia. Since its first application in 2012 in Stanford Cancer Institute, and a year later in University Hospital Ostrava, Czech Republic, the authors from all around the world have published case reports and case series, and several prospective trials were established. In this article, we would like to discuss the available clinical evidence, analyze the potentially clinically relevant differences in methodology, and address some of the unique challenges that come with this treatment method.

摘要

电生理引导下的非侵入性心脏射频消融术,也称为STAR(立体定向心律失常射频消融术),是一种用于持续性室性心动过速的新兴治疗方法。自2012年首次在斯坦福癌症研究所应用,以及一年后在捷克共和国俄斯特拉发大学医院应用以来,来自世界各地的作者发表了病例报告和病例系列,并开展了多项前瞻性试验。在本文中,我们将讨论现有的临床证据,分析方法学上潜在的临床相关差异,并探讨这种治疗方法带来的一些独特挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be09/8002399/9de4e393418d/jcm-10-01238-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be09/8002399/c5ba77a2fa28/jcm-10-01238-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be09/8002399/bff3c3eb3576/jcm-10-01238-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be09/8002399/9de4e393418d/jcm-10-01238-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be09/8002399/c5ba77a2fa28/jcm-10-01238-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be09/8002399/bff3c3eb3576/jcm-10-01238-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be09/8002399/9de4e393418d/jcm-10-01238-g003.jpg

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本文引用的文献

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Int J Radiat Oncol Biol Phys. 2021 Jul 1;110(3):745-756. doi: 10.1016/j.ijrobp.2021.01.028. Epub 2021 Jan 27.
2
A Review of Cardiac Radioablation (CR) for Arrhythmias: Procedures, Technology, and Future Opportunities.心脏放射消融术(CR)治疗心律失常的综述:程序、技术和未来机会。
Int J Radiat Oncol Biol Phys. 2021 Mar 1;109(3):783-800. doi: 10.1016/j.ijrobp.2020.10.036. Epub 2020 Nov 5.
3
Quantifying dose uncertainties resulting from cardiorespiratory motion in intensity-modulated proton therapy for cardiac stereotactic body radiotherapy.
在心脏立体定向体部放射治疗的调强质子治疗中,量化由心肺运动导致的剂量不确定性。
Front Oncol. 2024 Jul 8;14:1399589. doi: 10.3389/fonc.2024.1399589. eCollection 2024.
4
Letter on 'linear accelerator-based stereotactic arrhythmia radioablation for paroxysmal atrial fibrillation in elderly: a prospective phase II trial'.关于“基于直线加速器的立体定向心律失常射频消融治疗老年阵发性心房颤动:一项前瞻性II期试验”的信函
Europace. 2024 Jun 3;26(6). doi: 10.1093/europace/euae138.
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Radiation therapy for ventricular arrhythmias.室性心律失常的放射治疗。
J Med Imaging Radiat Oncol. 2024 Dec;68(8):893-913. doi: 10.1111/1754-9485.13662. Epub 2024 May 2.
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Stereotactic arrhythmia radioablation and its implications for modern cardiac electrophysiology: results of an EHRA survey.立体定向心律失常放射性消融及其对现代心脏电生理学的影响:EHRA 调查结果。
Europace. 2024 May 2;26(5). doi: 10.1093/europace/euae110.
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