Left Ventricular Assist Device, Implantable Cardioverter Defibrillator, and Radiation Therapy: A Technical Report, Review of Literature, and Recommendations.

IF 3.5 3区医学 Q2 ONCOLOGY

Practical Radiation Oncology Pub Date : 2025-07-04 DOI:10.1016/j.prro.2025.05.013

Alexander Bennassi, Tony Truong, Nhu Hanh To, Chahrazed Boukhobza, Wassim Ksouri, Lahcène Belaïdi, Fatimah-Zara Bellefkih, Hanan Rida, Kamel Debbi, Yazid Belkacémi

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引用次数: 0

Abstract

Recent advancements in cardiology have significantly improved survival and quality of life for patients with severe heart conditions, including those requiring implantable cardioverter defibrillators (ICDs) and left ventricular assist devices (LVADs). Radiation therapy (RT) using either conventional or advanced techniques, such as stereotactic body RT, remains a cornerstone treatment for cancer. However, managing patients with both ICDs and LVADs during RT presents unique challenges caused by potential device malfunctions and interactions with radiation. In this report, we present a case of a patient with both a triple-chamber ICD and an electronically equipped LVAD undergoing RT. The study explores the dosimetric considerations, device interactions, and adapted simulations required to minimize risks. This work aimed to bridge the knowledge gap and provide recommendations for the safe and effective integration of RT delivery in patients with advanced cardiac devices.

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左心室辅助装置、植入式心律转复除颤器和放射治疗：技术报告、文献回顾和建议。

心脏病学的最新进展显著提高了严重心脏病患者的生存率和生活质量，包括那些需要植入式心律转复除颤器（ICDs）和左心室辅助装置（lvad）的患者。放射治疗（RT）使用传统或先进的技术，如立体定向体放射治疗，仍然是癌症治疗的基础。然而，在RT期间管理同时患有icd和lvad的患者面临着由潜在的设备故障和与辐射相互作用引起的独特挑战。在本报告中，我们介绍了一个同时装有三室ICD和电子装备LVAD的患者接受rt的病例。研究探讨了剂量学考虑因素、设备相互作用和适应模拟所需的最小化风险。这项工作旨在弥合知识差距，并为先进心脏装置患者安全有效地整合RT提供建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Practical Radiation Oncology Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

5.20

自引率

6.10%

发文量

177

审稿时长

34 days

期刊介绍： The overarching mission of Practical Radiation Oncology is to improve the quality of radiation oncology practice. PRO''s purpose is to document the state of current practice, providing background for those in training and continuing education for practitioners, through discussion and illustration of new techniques, evaluation of current practices, and publication of case reports. PRO strives to provide its readers content that emphasizes knowledge "with a purpose." The content of PRO includes: Original articles focusing on patient safety, quality measurement, or quality improvement initiatives Original articles focusing on imaging, contouring, target delineation, simulation, treatment planning, immobilization, organ motion, and other practical issues ASTRO guidelines, position papers, and consensus statements Essays that highlight enriching personal experiences in caring for cancer patients and their families.