TY  - BOOK
AU  - Khan, Jaffar M
AU  - Rogers, Toby
TI  - Transcatheter Electrosurgery: JACC State-of-the-Art Review. [Review]
SN  - 0735-1097
PY  - 2020///
KW  - *Electrosurgery/mt [Methods]
KW  - *Heart Valve Prosthesis Implantation/mt [Methods]
KW  - *Prosthesis Design/mt [Methods]
KW  - *Transcatheter Aortic Valve Replacement/mt [Methods]
KW  - Cardiology/mt [Methods]
KW  - Cardiology/td [Trends]
KW  - Electrosurgery/td [Trends]
KW  - Heart Valve Diseases/dg [Diagnostic Imaging]
KW  - Heart Valve Diseases/su [Surgery]
KW  - Heart Valve Prosthesis Implantation/td [Trends]
KW  - Humans
KW  - Prosthesis Design/td [Trends]
KW  - Review Literature as Topic
KW  - Transcatheter Aortic Valve Replacement/td [Trends]
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
KW  - Review
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
N2  - Transcatheter electrosurgery refers to a family of procedures using radiofrequency energy to vaporize and traverse or lacerate tissue despite flowing blood. The authors review theory, simulations, and benchtop demonstrations of how guidewires, insulation, adjunctive catheters, and dielectric medium interact. For tissue traversal, all but the tip of traversing guidewires is insulated to concentrate current. For leaflet laceration, the "Flying V" configuration concentrates current at the inner lacerating surface of a kinked guidewire. Flooding the field with non-ionic dextrose eliminates alternative current paths. Clinical applications include traversing occlusions (pulmonary atresia, arterial and venous occlusion, and iatrogenic graft occlusion), traversing tissue planes (atrial and ventricular septal puncture, radiofrequency valve repair, transcaval access, Potts and Glenn shunts), and leaflet laceration (BASILICA, LAMPOON, ELASTA-Clip, and others). Tips are provided for optimizing these techniques. Transcatheter electrosurgery already enables a range of novel therapeutic procedures for structural heart disease, and represents a promising advance toward transcatheter surgery. Copyright Published by Elsevier Inc
UR  - https://dx.doi.org/10.1016/j.jacc.2020.01.035
UR  - https://dx.doi.org/10.1016/j.jacc.2020.01.035
ER  -