{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:42:24Z","timestamp":1791988944672,"version":"4.4.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T00:00:00Z","timestamp":1726444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T00:00:00Z","timestamp":1726444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Schleswig-Holstein - Campus Kiel"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Strahlenther Onkol"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Ventricular tachycardia (VT) is a\u00a0life-threatening arrhythmia originating from the heart\u2019s ventricles. Traditional treatments include antiarrhythmic medications, implantable cardioverter-defibrillators (ICDs), and catheter ablation. Stereotactic body radiation therapy (SBRT) targeting the arrhythmogenic focus in the left ventricle\u2014stereotactic arrhythmia radioablation (STAR)\u2014is an emerging treatment and may offer a\u00a0potential solution for patients with refractory VT.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>We designed an interventional prospective clinical trial in Israel aligned with the STOPSTORM.eu consortium\u2019s benchmarks, recommendations, and directives to assess the safety and efficacy of STAR in patients with refractory VT.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Our phase\u00a0I\/II single-institutional trial was approved by the Ministry of Health of Israel for 10\u00a0patients, initially assessing safety in the first 3\u00a0patients. We included patients with ICDs experiencing symptomatic monomorphic VT after an inadequate response to previous therapies. The primary endpoints were treatment-related serious adverse events and a\u00a0reduction in VT burden as assessed by ICD interrogation. Secondary outcomes included a\u00a0reduction in antiarrhythmic medications and changes in quality of life.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>From August 2023 to August 2024, 3\u00a0patients underwent STAR treatment. The prescription dose was a\u00a0single fraction of 25\u202fGy. Planning target volumes were 47.8, 49.7, and 91.8\u202fcc, and treatment was successfully delivered with no grade\u00a03 or higher adverse events reported. Over a\u00a0follow-up period of 12\u00a0months for the first patient and 8\u00a0months for the second one, no VT events were recorded after treatment. The third patient died from progressive heart failure 3\u00a0months after treatment. Left ventricular ejection fraction remained stable, and no significant radiation-induced inflammatory changes were noted.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The initial results of this trial suggest that STAR can reduce VT episodes in patients with refractory VT without severe adverse effects. The study highlights the importance of international collaboration and standardization in pioneering new treatments. Further follow-up and additional patient data will be necessary to confirm these findings and evaluate long-term outcomes, including potential adjustments to antiarrhythmic medication regimens.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00066-024-02300-z","type":"journal-article","created":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T13:02:30Z","timestamp":1726491750000},"page":"126-134","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Implementing stereotactic arrhythmia radioablation with STOPSTORM.eu consortium support: intermediate results of a\u00a0prospective Israeli single-institutional trial"],"prefix":"10.1007","volume":"201","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5782-2182","authenticated-orcid":false,"given":"Egor","family":"Borzov","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roi","family":"Efraim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Suleiman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Bar-Deroma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salem","family":"Billan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyang","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Hohmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Blanck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomer","family":"Charas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"issue":"40","key":"2300_CR1","doi-asserted-by":"publisher","first-page":"3997","DOI":"10.1093\/eurheartj\/ehac262","volume":"43","author":"K Zeppenfeld","year":"2022","unstructured":"Zeppenfeld\u00a0K, Tfelt-Hansen\u00a0J, de Riva\u00a0M, Winkel\u00a0BG, Behr\u00a0ER, Blom\u00a0NA, Charron\u00a0P, Corrado\u00a0D, Dagres\u00a0N, de Chillou\u00a0C, Eckardt\u00a0L, Friede\u00a0T, Haugaa\u00a0KH, Hocini\u00a0M, Lambiase\u00a0PD, Marijon\u00a0E, Merino\u00a0JL, Peichl\u00a0P, Priori\u00a0SG, Reichlin\u00a0T, \u2026 ESC Scientific Document Group (2022) 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Eur Heart\u00a0J 43(40):3997\u20134126. https:\/\/doi.org\/10.1093\/eurheartj\/ehac262","journal-title":"Eur Heart J"},{"issue":"10","key":"2300_CR2","doi-asserted-by":"publisher","first-page":"1957","DOI":"10.1016\/j.hrthm.2016.07.001","volume":"13","author":"S Kumar","year":"2016","unstructured":"Kumar\u00a0S, Romero\u00a0J, Mehta\u00a0NK, Fujii\u00a0A, Kapur\u00a0S, Baldinger\u00a0SH, Barbhaiya\u00a0CR, Koplan\u00a0BA, John\u00a0RM, Epstein\u00a0LM, Michaud\u00a0GF, Tedrow\u00a0UB, Stevenson\u00a0WG (2016) Long-term outcomes after catheter ablation of ventricular tachycardia in patients with and without structural heart disease. Heart Rhythm 13(10):1957\u20131963. https:\/\/doi.org\/10.1016\/j.hrthm.2016.07.001","journal-title":"Heart Rhythm"},{"issue":"8","key":"2300_CR3","doi-asserted-by":"publisher","first-page":"1381","DOI":"10.1016\/j.hrthm.2020.03.013","volume":"17","author":"MH van der Ree","year":"2020","unstructured":"van der Ree\u00a0MH, Blanck\u00a0O, Limpens\u00a0J, Lee\u00a0CH, Balgobind\u00a0BV, Dieleman\u00a0EMT, Wilde\u00a0AAM, Zei\u00a0PC, de Groot\u00a0JR, Slotman\u00a0BJ, Cuculich\u00a0PS, Robinson\u00a0CG, Postema\u00a0PG (2020) Cardiac radioablation\u2014A systematic review. 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Nat Commun 12(1):5558. https:\/\/doi.org\/10.1038\/s41467-021-25730-0","journal-title":"Nat Commun"},{"issue":"6","key":"2300_CR6","doi-asserted-by":"publisher","first-page":"1238","DOI":"10.3390\/jcm10061238","volume":"10","author":"M Miszczyk","year":"2021","unstructured":"Miszczyk\u00a0M, Jadczyk\u00a0T, Go\u0142ba\u00a0K, Wojakowski\u00a0W, Wita\u00a0K, Bednarek\u00a0J, Blamek\u00a0S (2021) Clinical Evidence behind Stereotactic Radiotherapy for the Treatment of Ventricular Tachycardia (STAR)\u2014A Comprehensive Review. 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Circulation 139(3):313\u2013321. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.118.038261","journal-title":"Circulation"},{"issue":"4","key":"2300_CR10","doi-asserted-by":"publisher","first-page":"1284","DOI":"10.1093\/europace\/euac238","volume":"25","author":"M Grehn","year":"2023","unstructured":"Grehn\u00a0M, Mandija\u00a0S, Miszczyk\u00a0M, Krug\u00a0D, Tomasik\u00a0B, Stickney\u00a0KE, Alcantara\u00a0P, Alongi\u00a0F, Anselmino\u00a0M, Aranda\u00a0RS, Balgobind\u00a0BV, Boda-Heggemann\u00a0J, Boldt\u00a0LH, Bottoni\u00a0N, Cvek\u00a0J, Elicin\u00a0O, De Ferrari\u00a0GM, Hassink\u00a0RJ, Hazelaar\u00a0C, Hindricks\u00a0G, \u2026 Verhoeff\u00a0JJC (2023) STereotactic Arrhythmia Radioablation (STAR): the Standardized Treatment and Outcome Platform for Stereotactic Therapy Of Re-entrant tachycardia by a\u00a0Multidisciplinary consortium (STOPSTORM.eu) and review of current patterns of STAR practice in Europe. Europace 25(4):1284\u20131295. https:\/\/doi.org\/10.1093\/europace\/euac238","journal-title":"Europace"},{"key":"2300_CR11","doi-asserted-by":"publisher","DOI":"10.1007\/s00066-024-02230-w","author":"C Botrugno","year":"2024","unstructured":"Botrugno\u00a0C, Crico\u00a0C, Iori\u00a0M, Blanck\u00a0O, Blamek\u00a0S, Postema\u00a0PG, Quesada\u00a0A, Pruvot\u00a0E, Verhoeff\u00a0JJC, De Panfilis\u00a0L (2024) Patient vulnerability in stereotactic arrhythmia radioablation (STAR): a\u00a0preliminary ethical appraisal from the STOPSTORM.eu consortium. Strahlenther Onkol. https:\/\/doi.org\/10.1007\/s00066-024-02230-w (Advance online publication. https:\/\/doi.org\/10.1007\/s00066-024-02230-w)","journal-title":"Strahlenther Onkol"},{"issue":"12","key":"2300_CR12","doi-asserted-by":"publisher","first-page":"2137","DOI":"10.1016\/j.hrthm.2021.08.004","volume":"18","author":"D Krug","year":"2021","unstructured":"Krug\u00a0D, Blanck\u00a0O, Andratschke\u00a0N, Guckenberger\u00a0M, Jumeau\u00a0R, Mehrhof\u00a0F, Boda-Heggemann\u00a0J, Seidensaal\u00a0K, Dunst\u00a0J, Pruvot\u00a0E, Scholz\u00a0E, Saguner\u00a0AM, Rudic\u00a0B, Boldt\u00a0LH, Bonnemeier\u00a0H (2021) Recommendations regarding cardiac stereotactic body radiotherapy for treatment refractory ventricular tachycardia. 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