CPT® Code 0747T

1. Indications

The procedure of cardiac focal ablation utilizing radiation therapy for arrhythmia is indicated for specific conditions related to heart rhythm disturbances. The following are the explicitly provided indications for this procedure:

• Ventricular Tachycardia (VT) - A type of arrhythmia characterized by a rapid heartbeat originating from the ventricles, which can lead to serious complications if not treated effectively.

2. Procedure

The procedure for cardiac focal ablation utilizing radiation therapy for arrhythmia involves several critical steps to ensure successful treatment. Each step is meticulously planned and executed to achieve optimal outcomes.

• Step 1: Localization and Mapping - Initially, the arrhythmia is localized and mapped out using advanced imaging techniques. This step is crucial as it allows the healthcare team to identify the precise location of the arrhythmia within the heart, which is essential for effective treatment.
• Step 2: Treatment Plan Development - Following the mapping, a comprehensive treatment plan is created. This plan outlines the specific parameters for the radiation therapy, including the targeted area and the dosage of radiation to be delivered.
• Step 3: Patient Positioning - The patient is then positioned appropriately for the linear accelerator. This positioning is critical to ensure that the radiation is delivered accurately to the targeted site of the arrhythmia.
• Step 4: Imaging Verification - Before the radiation therapy is administered, imaging is performed to verify that the patient is in the correct position. This step ensures that the heart and the arrhythmia site (nidus) are accurately targeted as per the treatment plan.
• Step 5: Radiation Delivery - Once the positioning is confirmed, the prescribed radiation dose is delivered. The radiation oncologist is present during this phase to oversee the procedure and ensure that the treatment is conducted safely and effectively.

3. Post-Procedure

After the completion of the cardiac focal ablation utilizing radiation therapy for arrhythmia, patients may require specific post-procedure care to monitor their recovery and manage any potential side effects. It is essential for healthcare providers to assess the patient's response to the treatment and provide appropriate follow-up care. Patients may be advised to rest and avoid strenuous activities for a specified period. Additionally, regular follow-up appointments may be scheduled to evaluate the effectiveness of the procedure and to monitor for any recurrence of arrhythmias or other complications. The healthcare team will provide guidance on any necessary lifestyle modifications or medications to support the patient's recovery and overall heart health.