Evidence map›Paper›PMID 34815300›Full record

ArticleOpen heart2021

Cardiac stereotactic ablative radiotherapy for control of refractory ventricular tachycardia: initial UK multicentre experience.

Justin Lee, Matthew Bates, Ewen Shepherd, Stephen Riley, Michael Henshaw, Peter Metherall, Jim Daniel, Alison Blower, David Scoones, Michele Wilkinson and 12 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Open heart, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05258422 (Stereotactic Arrhythmia Radioablation for Ventricular Tachycardia), which is not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05258422 phase2enrolling by invitationnot on this mapstarted 2023, after this paper: background citation

Stereotactic Arrhythmia Radioablation for Ventricular Tachycardia (StAR-VT): a Single Centre, Phase II, Dose De-escalation, Non-inferiority, Clinical Trial.

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2023 to 2031Enrolled9ConditionsVentricular Tachycardia, Arrhythmia, Arrhythmic Storm, Radiation ToxicityArmsstereotactic body radiotherapy, 20 Gy in 1 fraction
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Stereotactic cardiac radiotherapy for refractory ventricular tachycardia in structural heart disease patients: a systematic review.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Pooled it
  3. Pooled it
  4. Non-invasive stereotactic arrhythmia radiotherapy for ventricular tachycardia: results of the prospective STARNL-1 trial.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Patient selection, ventricular tachycardia substrate delineation, and data transfer for stereotactic arrhythmia radioablation: a clinical consensus statement of the European Heart Rhythm Association of the European Society of Cardiology and the Heart Rhythm Society.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  11. Review
  12. Article
  13. Radiation therapy for ventricular arrhythmias.Journal of medical imaging and radiation oncology · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Radiotherapy for non-cancer diseases: benefits and long-term risks.International journal of radiation biology · 2024
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 5 institutions in 2 countries.

Justin LeeDepartment of Cardiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK justin.lee@nhs.net.ORCID 0000-0003-2444-0169
Matthew BatesDepartment of Cardiology, South Tees Hospital NHS Foundation Trust, Middlesbrough, UK.
Ewen ShepherdDepartment of Cardiology, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Stephen RileyWeston Park Cancer Centre, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Michael HenshawWeston Park Cancer Centre, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Peter Metherall3D Lab, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Jim DanielDepartment of Oncology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Alison BlowerDepartment of Oncology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
David ScoonesDepartment of Pathology, South Tees Hospital NHS Foundation Trust, Middlesbrough, UK.
Michele WilkinsonNorthern Centre for Cancer Care, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Neil RichmondNorthern Centre for Cancer Care, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Clifford RobinsonCenter for Noninvasive Cardiac Radioablation, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Phillip CuculichCenter for Noninvasive Cardiac Radioablation, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Geoffrey HugoCenter for Noninvasive Cardiac Radioablation, Washington University School of Medicine in St Louis, St Louis, Missouri, USA.
Neil SellerDepartment of Cardiology, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Ruth McStayDepartment of Radiology, Newcastle NHS Hospitals Foundation Trust, Newcastle Upon Tyne, UK.
Nicholas ChildDepartment of Cardiology, South Tees Hospital NHS Foundation Trust, Middlesbrough, UK.
Andrew ThornleyDepartment of Cardiology, South Tees Hospital NHS Foundation Trust, Middlesbrough, UK.
Nicholas KellandDepartment of Cardiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Philip AthertonNorthern Centre for Cancer Care, Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Clive PeedellDepartment of Oncology, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Matthew HattonWeston Park Cancer Centre, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
South Tees Hospitals NHS Foundation Trust · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBSheffield Teaching Hospitals NHS Foundation Trust · GBWashington University in St. Louis · USWeston Park Cancer Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptions for patients with ventricular tachycardia (VT) refractory to antiarrhythmic drugs and/or catheter ablation remain limited. Stereotactic radiotherapy has been described as a novel treatment option.

methodsSeven patients with recurrent refractory VT, deemed high risk for either first time or redo invasive catheter ablation, were treated across three UK centres with non-invasive cardiac stereotactic ablative radiotherapy (SABR). Prior catheter ablation data and non-invasive mapping were combined with cross-sectional imaging to generate radiotherapy plans with aim to deliver a single 25 Gy treatment. Shared planning and treatment guidelines and prospective peer review were used.

resultsAcute suppression of VT was seen in all seven patients. For five patients with at least 6 months follow-up, overall reduction in VT burden was 85%. No high-grade radiotherapy treatment-related side effects were documented. Three deaths (two early, one late) occurred due to heart failure.

conclusionsCardiac SABR showed reasonable VT suppression in a high-risk population where conventional treatment had failed.

Indexed as

AgedCatheter AblationFemaleFollow-Up StudiesHeart RateHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsTachycardia, VentricularTreatment OutcomeUnited Kingdomablation techniquescardiomyopathiestachycardiaventricular

Identifiers

PMID34815300
PMCPMC8611439
OpenAlexW3215795069

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.