Use of Electrosurgery in Interventional Cardiology

Jaffar M Khan; Toby Rogers; Adam B Greenbaum; Vasilis C Babaliaros; Christopher G Bruce; Robert J Lederman

doi:10.1016/j.iccl.2022.01.004

Use of Electrosurgery in Interventional Cardiology

Interv Cardiol Clin. 2022 Jul;11(3):257-266. doi: 10.1016/j.iccl.2022.01.004.

Authors

Jaffar M Khan¹, Toby Rogers², Adam B Greenbaum³, Vasilis C Babaliaros⁴, Christopher G Bruce⁵, Robert J Lederman⁶

Affiliations

¹ Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Building 10, Room 2c713, MSC 1538, Bethesda, MD 20892-1538, USA. Electronic address: https://twitter.com/CathElectroSurg.
² Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Building 10, Room 2c713, MSC 1538, Bethesda, MD 20892-1538, USA; Medstar Washington Hospital Center, 110 Irving Street, Northwest, Washington, DC 20010, USA.
³ Structural Heart and Valve Center, Emory University Hospital, 550 Peachtree Street Northeast, Medical Office Tower, Fl 6, Atlanta, GA 30308, USA. Electronic address: https://twitter.com/AdamGreenbaumMD.
⁴ Structural Heart and Valve Center, Emory University Hospital, 550 Peachtree Street Northeast, Medical Office Tower, Fl 6, Atlanta, GA 30308, USA.
⁵ Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Building 10, Room 2c713, MSC 1538, Bethesda, MD 20892-1538, USA. Electronic address: https://twitter.com/ChrisGBruce13.
⁶ Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Building 10, Room 2c713, MSC 1538, Bethesda, MD 20892-1538, USA. Electronic address: lederman@nih.gov.

Abstract

Transcatheter electrosurgery is a versatile tool that can be used to cut cardiac tissue without the need for a sternotomy, cardiopulmonary bypass, and cardioplegia. With adequate imaging and suitable anatomy, any cardiac tissue can be cut. Thus, transcatheter electrosurgery can provide bespoke therapies for complex patients who often have no other good treatment options. In this review, we will discuss the common applications for electrosurgical tissue traversal and laceration, including transcaval access, BASILICA, LAMPOON, and ELASTA-Clip, summarizing the evidence and the key technical steps for each.

Keywords: Basilica; Lampoon; TAVR; TMVR.

Publication types

Review
Research Support, N.I.H., Intramural

MeSH terms

Cardiology*
Electrosurgery* / methods
Humans

Abstract

Publication types

MeSH terms

Grants and funding