Advances in Transcatheter Electrosurgery for Treating Valvular Heart Disease

Delivery of electrosurgery energy through catheters and guidewires enables interventionists to ‘cut’ through obstructive intravascular lesions or across cardiac chambers. A novel application of transcatheter electrosurgery is to make controlled lacerations in heart valve leaflets. This review descri...

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Autores principales: Jaffar M Khan, Toby Rogers, Adam B Greenbaum, Vasilis C Babaliaros, John C Lisko, Dursun Korel Yildirim, Christopher G Bruce, Daniel A Herzka, Kanishka Ratnayaka, Robert J Lederman
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2021
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Acceso en línea:https://doaj.org/article/c1b8ed5670224369aed0a918f53aef3e
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spelling oai:doaj.org-article:c1b8ed5670224369aed0a918f53aef3e2021-12-04T16:03:58ZAdvances in Transcatheter Electrosurgery for Treating Valvular Heart Disease10.15420/usc.2020.271758-390X1758-3896https://doaj.org/article/c1b8ed5670224369aed0a918f53aef3e2021-03-01T00:00:00Zhttps://www.uscjournal.com/articleindex/usc.2020.27https://doaj.org/toc/1758-3896https://doaj.org/toc/1758-390XDelivery of electrosurgery energy through catheters and guidewires enables interventionists to ‘cut’ through obstructive intravascular lesions or across cardiac chambers. A novel application of transcatheter electrosurgery is to make controlled lacerations in heart valve leaflets. This review describes three applications of transcatheter electrosurgery of aortic and mitral valve leaflets to enable transcatheter heart valve implantation. Intentional laceration of the anterior mitral leaflet to prevent left ventricular outflow obstruction splits and splays the anterior mitral valve and enables transcatheter mitral valve replacement without left ventricular outflow tract obstruction. Technique modifications and novel applications are described. Bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction enables transcatheter aortic valve replacement without coronary artery obstruction. The technique is described and novel uses, especially in the setting of repeat transcatheter aortic valve replacement, are discussed. Finally, electrosurgical laceration and stabilization of mitral valve clip devices (ELASTA-Clip) enables transcatheter mitral valve replacement after MitraClip implantation. In conclusion, transcatheter electrosurgery is an important and versatile new tool in structural heart intervention.Jaffar M KhanToby RogersAdam B GreenbaumVasilis C BabaliarosJohn C LiskoDursun Korel YildirimChristopher G BruceDaniel A HerzkaKanishka RatnayakaRobert J LedermanRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENUS Cardiology Review , Vol 15, Iss , Pp - (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Jaffar M Khan
Toby Rogers
Adam B Greenbaum
Vasilis C Babaliaros
John C Lisko
Dursun Korel Yildirim
Christopher G Bruce
Daniel A Herzka
Kanishka Ratnayaka
Robert J Lederman
Advances in Transcatheter Electrosurgery for Treating Valvular Heart Disease
description Delivery of electrosurgery energy through catheters and guidewires enables interventionists to ‘cut’ through obstructive intravascular lesions or across cardiac chambers. A novel application of transcatheter electrosurgery is to make controlled lacerations in heart valve leaflets. This review describes three applications of transcatheter electrosurgery of aortic and mitral valve leaflets to enable transcatheter heart valve implantation. Intentional laceration of the anterior mitral leaflet to prevent left ventricular outflow obstruction splits and splays the anterior mitral valve and enables transcatheter mitral valve replacement without left ventricular outflow tract obstruction. Technique modifications and novel applications are described. Bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction enables transcatheter aortic valve replacement without coronary artery obstruction. The technique is described and novel uses, especially in the setting of repeat transcatheter aortic valve replacement, are discussed. Finally, electrosurgical laceration and stabilization of mitral valve clip devices (ELASTA-Clip) enables transcatheter mitral valve replacement after MitraClip implantation. In conclusion, transcatheter electrosurgery is an important and versatile new tool in structural heart intervention.
format article
author Jaffar M Khan
Toby Rogers
Adam B Greenbaum
Vasilis C Babaliaros
John C Lisko
Dursun Korel Yildirim
Christopher G Bruce
Daniel A Herzka
Kanishka Ratnayaka
Robert J Lederman
author_facet Jaffar M Khan
Toby Rogers
Adam B Greenbaum
Vasilis C Babaliaros
John C Lisko
Dursun Korel Yildirim
Christopher G Bruce
Daniel A Herzka
Kanishka Ratnayaka
Robert J Lederman
author_sort Jaffar M Khan
title Advances in Transcatheter Electrosurgery for Treating Valvular Heart Disease
title_short Advances in Transcatheter Electrosurgery for Treating Valvular Heart Disease
title_full Advances in Transcatheter Electrosurgery for Treating Valvular Heart Disease
title_fullStr Advances in Transcatheter Electrosurgery for Treating Valvular Heart Disease
title_full_unstemmed Advances in Transcatheter Electrosurgery for Treating Valvular Heart Disease
title_sort advances in transcatheter electrosurgery for treating valvular heart disease
publisher Radcliffe Medical Media
publishDate 2021
url https://doaj.org/article/c1b8ed5670224369aed0a918f53aef3e
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